Individual
MARCIA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, MS
Contact information
Practice address
3260 EAGLE PARK DR NE, SUITE 117, GRAND RAPIDS, MI 49525-4569
(616) 530-2224
Mailing address
7115 CHERRY VALLEY AVE SE, CALEDONIA, MI 49316-8223
(616) 901-3484
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18391
MI
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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