Individual
ALEXIS TERPSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, PSY.S
Contact information
Practice address
2930 KNAPP ST NE, GRAND RAPIDS, MI 49525-4518
(616) 558-2885
Mailing address
1501 MASON ST NE, GRAND RAPIDS, MI 49503-1331
(616) 558-2885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BACB354690
MI
103TS0200X
School Psychologist
Primary
SP0000001061481
MI
Other
Enumeration date
06/08/2016
Last updated
01/14/2025
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