Individual
CHRISTIE LYNN NUTKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, BCBA-D
Contact information
Practice address
5242 PLAINFIELD AVE NE STE A, GRAND RAPIDS, MI 49525-1084
(616) 235-2090
(616) 235-2099
Mailing address
5242 PLAINFIELD AVE NE, SUITE A, GRAND RAPIDS, MI 49525-1084
(616) 235-2090
(616) 235-2099
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-11-9644
MI
103TC0700X
Clinical Psychologist
Primary
6301012867
MI
Other
Enumeration date
06/12/2007
Last updated
09/21/2015
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