Individual
LAUREN A JAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 3 MILE RD NW, SUITE 200, GRAND RAPIDS, MI 49544-1691
(616) 414-1875
Mailing address
600 3 MILE RD NW STE 200, GRAND RAPIDS, MI 49544-1691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
03/21/2019
Last updated
10/06/2025
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