Kira Elizabeth Skorupski
Behavior Technician in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1164055406
StatusActive
Last updated in NPPESDec 21, 2022
Details
- NPI
- 1164055406
- Entity type
- Individual (NPI-1)
- Name
- Miss Kira Elizabeth Skorupski
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2020
- Certification date
- Dec 21, 2022
- Last updated
- Dec 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3809 Lake Eastbrook Blvd SeGrand Rapids, MI 49546-5931
Phone 616-604-8492
Mailing address
3809 Lake Eastbrook Blvd SeGrand Rapids, MI 49546-5931
Phone 616-604-8492
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