NPI 1003456633

Audrianna Boersen

Practitioner Behavior Technician Grand Rapids, MI

Practice location

Address: 1256 Walker Ave NW, Grand Rapids, MI 49504-4067
Phone: (606) 253-2910

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003456633
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2020
Record last updated: 12 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.