Most Relevant Information
Provider Data
| NPI Number: | 1003304858 |
| Provider Name: | ALLYSON WHALEN |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/27/2018 |
| Last Updated: | 07/21/2021 |
Provider Practice Location
120 STEVENS ST SW
GRAND RAPIDS
MI
495071526
Practice Location Phone/Fax
| Phone: | 8558326727 |
| Fax: |
Provider Mailing Location
120 STEVENS ST SW
GRAND RAPIDS
MI
495071526
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |