Individual
ALAINA RUDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2110
Mailing address
6874 WILLARD AVE SE, GRAND RAPIDS, MI 49548-7354
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P0316782
ASR
—
Enumeration date
06/20/2022
Last updated
06/20/2022
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