Individual
KELLY HAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2530 HALL ST SE, GRAND RAPIDS, MI 49506-3568
(757) 675-2939
Mailing address
2530 HALL ST SE, GRAND RAPIDS, MI 49506-3568
(757) 675-2939
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002733
MI
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/11/2021
Last updated
06/10/2026
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