Individual
ELLIE E ROZEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2460 BURTON ST SE STE 101, GRAND RAPIDS, MI 49546-4800
(161) 627-8120
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
R250213210613
MI
103K00000X
Behavior Analyst
R25213210613
MI
Other
Enumeration date
01/27/2019
Last updated
01/27/2019
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