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Individual

MISTY COLLETTE MCPHERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LLP, LBA, BCBA

Contact information

Practice address
2814 WOODCLIFF CIR SE, GRAND RAPIDS, MI 49506-3155
(855) 832-6727
Mailing address
2814 WOODCLIFF CIR SE, GRAND RAPIDS, MI 49506-3155

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9386
MI
103K00000X
Behavior Analyst
1-11-9386
103T00000X
Psychologist
6301014812
MI

Other

Enumeration date
03/31/2014
Last updated
07/28/2020
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