NPI 1053026104

Ivy Stejakowski

Practitioner Assistant Behavior Analyst Grand Rapids, MI

Practice location

Address: 4234 Cascade Rd SE STE 3, Grand Rapids, MI 49546-8384
Phone: (877) 654-4144

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1053026104
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2023
Record last updated: 23 Jan 2023

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.