Individual
MRS. ALLISON RAE MUNDWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
3361 36TH ST SE, GRAND RAPIDS, MI 49512-2809
(616) 942-2522
Mailing address
521 BAYBERRY POINTE DR NW APT B, GRAND RAPIDS, MI 49534-8009
(818) 231-7254
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-08-4652
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/11/2011
Last updated
01/13/2023
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