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Andrew Bean

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

NPI number1801468699
StatusActive
Last updated in NPPESJul 12, 2021

Details

NPI
1801468699
Entity type
Individual (NPI-1)
Name
Andrew Bean
Sex
Male
Sole proprietor
No
Enumeration date
Jul 12, 2021
Certification date
Jul 12, 2021
Last updated
Jul 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

120 Stevens St Sw
Grand Rapids, MI 49507-1526

Phone 616-469-3870

Mailing address

2057 43rd St Se Apt R11
Grand Rapids, MI 49508-8728

Phone 269-830-0503

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