Individual
KRISTOPHER LATURNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
3361 36TH ST SE, KENTWOOD, MI 49512-2809
(616) 942-2522
Mailing address
11172 ADAMS ST, HOLLAND, MI 49423-9163
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-19-36187
MI
103K00000X
Behavior Analyst
Primary
7401000397
MI
Other
Enumeration date
06/06/2016
Last updated
09/03/2021
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