| Booker Behavior Therapy Llc | |
|
559 Cass Ave Se Grand Rapids MI 49503-5205 | |
| (616) 840-3759 | |
| Not Available |
| Full Name | Booker Behavior Therapy Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 559 Cass Ave Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Aikelah Booker (BCBA) |
| Authorized Official Contact | 6168403759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Booker Behavior Therapy Llc 559 Cass Ave Se Grand Rapids MI 49503-5205 Ph: (616) 840-3759 | Booker Behavior Therapy Llc 559 Cass Ave Se Grand Rapids MI 49503-5205 Ph: (616) 840-3759 |
| NPI Number | 1528761053 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 04/14/2023 |
| Certification Date | 04/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528761053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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