Individual
JAMESON DANIEL JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 36TH ST SE, KENTWOOD, MI 49512-2809
(616) 942-2522
Mailing address
5911 PINETREE AVE SE, GRAND RAPIDS, MI 49508-0608
(616) 240-1781
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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