Individual
DANIELLE COOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 365-8920
Mailing address
3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 365-8920
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001022
MI
247200000X
Other Technician
—
—
Other
Enumeration date
06/16/2016
Last updated
02/21/2020
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