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Individual

KATELYN ESTREM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
1260 EKHART ST SE, GRAND RAPIDS, MI 49503
(616) 942-2110
Mailing address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2110

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401003009
MI
103K00000X
Behavior Analyst
Primary
MI

Other

Enumeration date
09/04/2020
Last updated
03/02/2026
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