Individual
ANDREW BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 STEVENS ST SW, GRAND RAPIDS, MI 49507-1526
(616) 469-3870
Mailing address
2057 43RD ST SE APT R11, GRAND RAPIDS, MI 49508-8728
(269) 830-0503
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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