Individual
KAYLA LYNN GRUNEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W NEWARK RD, LAPEER, MI 48446-9449
(810) 358-0373
Mailing address
1100 W NEWARK RD, LAPEER, MI 48446-9449
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002597
MI
156F00000X
Technician/Technologist
—
—
Other
Enumeration date
05/31/2019
Last updated
10/27/2024
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