NPI 1003539891

Emma Grace Ouellette

Practitioner Behavior Technician Grand Rapids, MI

Practice location

Address: 3809 Lake Eastbrook Blvd SE, Grand Rapids, MI 49546-5931
Phone: (616) 604-8492

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003539891
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2022
Record last updated: 26 Sep 2022

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.