Individual
MADISON M BOHRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, QIDP
Contact information
Practice address
3310 EAGLE PARK DR NE, GRAND RAPIDS, MI 49525-4574
(616) 915-8488
Mailing address
3310 EAGLE PARK DR NE, GRAND RAPIDS, MI 49525-4574
(616) 915-8488
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/07/2018
Last updated
10/06/2022
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