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Neidaly Babcock

Behavior Technician in Grandville, MI. Individual provider (NPI-1).

NPI number1164215901
StatusActive
Last updated in NPPESMay 24, 2025

Details

NPI
1164215901
Entity type
Individual (NPI-1)
Name
Neidaly Babcock
Sex
Female
Sole proprietor
No
Enumeration date
May 24, 2025
Certification date
May 24, 2025
Last updated
May 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–MIYes

Practice location

4370 Chicago Dr Sw Ste 735
Grandville, MI 49418-1694

Phone 616-341-7470

Mailing address

4370 Chicago Dr Sw Ste 735
Grandville, MI 49418-1694

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