Individual
MS. KATHERINE COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.PSY.S., BCBA
Contact information
Practice address
1607 LYON ST NE, GRAND RAPIDS, MI 49503-3715
(616) 460-7735
Mailing address
1607 LYON ST NE, GRAND RAPIDS, MI 49503-3715
(616) 460-7735
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
06/12/2014
Last updated
01/16/2024
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