Individual
LORI LYNNE FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
912 ALGER ST SE, GRAND RAPIDS, MI 49507-3804
(574) 904-9433
Mailing address
912 ALGER ST SE, GRAND RAPIDS, MI 49507-3804
(574) 904-9433
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16273
—
Other
Enumeration date
05/21/2015
Last updated
02/27/2024
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