Jayce Christopher Masters
Behavior Technician in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1164039780
StatusActive
Last updated in NPPESSep 28, 2020
Details
- NPI
- 1164039780
- Entity type
- Individual (NPI-1)
- Name
- Jayce Christopher Masters
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2020
- Certification date
- Sep 28, 2020
- Last updated
- Sep 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2814 Woodcliff Cir SeGrand Rapids, MI 49506-3155
Phone 855-832-6727
Mailing address
3891 Residence Ct Apt 204Allendale, MI 49401-8902
Phone 989-397-6078
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