Individual
ABAGAYL GRACE BIELAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 STEVENS ST SW, GRAND RAPIDS, MI 49507-1526
(616) 469-3870
Mailing address
8994 CALVIN CIR, NEWBURGH, IN 47630-9043
(269) 290-2859
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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