Individual
JENNIFER F GRENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
2086 S CUSTER RD, MONROE, MI 48161-1831
(517) 473-4682
(734) 682-5325
Mailing address
20316 FOXBORO ST, RIVERVIEW, MI 48193-7918
(734) 834-2217
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001357
MI
Other
Enumeration date
03/02/2017
Last updated
01/02/2024
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