Individual
IMANI GRANT JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2460 BURTON ST SE, GRAND RAPIDS, MI 49546-4801
(616) 287-1201
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MI
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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