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Individual

ANGELA MARIE PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN

Contact information

Practice address
120 STEVENS ST SW, GRAND RAPIDS, MI 49507-1526
(855) 832-6727
Mailing address
906 CLEO ST, LANSING, MI 48915-1325
(269) 757-4714

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
225700000X
Massage Therapist
Primary
7501009744
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
225700000X
NPPES
MI
Enumeration date
06/14/2021
Last updated
07/01/2026
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