Individual
JEREMY A BIESBROUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
100 MALTON RD STE 7, NEGAUNEE, MI 49866-2002
(906) 464-0002
Mailing address
107 W CLARK ST, NEGAUNEE, MI 49866-1623
(906) 233-1322
(906) 233-1220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/24/2013
Last updated
06/08/2022
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