Bethanie Blackann
Bethanie Blackann is a Behavior Analyst in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3300 36th St SEGrand Rapids, MI 49512-2810
Phone: (616) 942-2810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|
Record details
| NPI number | 1669113478 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 5, 2022 |
| Last updated in NPPES | April 5, 2022 |
| Certification date | April 5, 2022 |
| Mailing address | 1277 Cobb Dr Se Apt 3a, Grand Rapids, MI 49508-7164 |
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