Individual
TREVOR BRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2110
Mailing address
24 LAFAYETTE AVE SE APT 1, GRAND RAPIDS, MI 49503-4377
(616) 443-7135
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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