Individual
ALAYNA KOOISTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 N STATE ST, STANTON, MI 48888-9702
(248) 860-3490
Mailing address
611 N STATE ST, STANTON, MI 48888-9702
(989) 831-7520
(989) 831-7578
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/30/2022
Last updated
02/09/2026
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