Individual
ASHLEY M HOLWERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. BCBA, LBA
Contact information
Practice address
1545 68TH ST SE STE 201, KENTWOOD, MI 49508-7896
(248) 470-7971
Mailing address
1740 LARAWAY RIDGE DR SE, GRAND RAPIDS, MI 49546-6608
(248) 470-7971
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000192
MI
Other
Enumeration date
08/11/2016
Last updated
10/15/2021
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