Individual
ELLEN BRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2121 E GRAND RIVER AVE, LANSING, MI 48912-3231
(517) 374-8066
(517) 374-5912
Mailing address
2121 E GRAND RIVER AVE, LANSING, MI 48912-3231
(517) 374-8066
(517) 374-5912
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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