Individual
DANESSA DAWN DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4234 CASCADE RD SE STE 3, GRAND RAPIDS, MI 49546-8384
(877) 654-4144
Mailing address
4234 CASCADE RD SE STE 3, GRAND RAPIDS, MI 49546-8384
(877) 654-4144
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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