Individual
MIKAYLA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
16930 ROBBINS RD STE 120, GRAND HAVEN, MI 49417-2784
(616) 935-7606
Mailing address
16925 ABILITY WAY, GRAND HAVEN, MI 49417-9325
(616) 935-7606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/28/2020
Last updated
04/29/2025
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