Individual
ALLISON ABAUNZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4873 BURRWOOD ST SE, GRAND RAPIDS, MI 49546-3769
(616) 900-5001
Mailing address
726 LONDON ST SW, GRAND RAPIDS, MI 49503-8073
(616) 655-5219
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870929461
—
MI
Enumeration date
09/23/2022
Last updated
09/23/2022
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