Individual
RILEY R KUTZLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
3809 LAKE EASTBROOK BLVD SE # MI49546, GRAND RAPIDS, MI 49546-5931
(616) 604-8492
Mailing address
3809 LAKE EASTBROOK BLVD SE STE A, GRAND RAPIDS, MI 49546-5931
(616) 604-8492
(616) 604-8493
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MI
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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