Individual
MRS. ALEAH CAIZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2110
Mailing address
4102 CROOKED TREE RD SW APT 9, WYOMING, MI 49519-5231
(248) 701-4655
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XYH890766619
BLUE CARE NETWORK
MI
Enumeration date
09/28/2020
Last updated
09/28/2020
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