Most Relevant Information
Provider Data
| NPI Number: | 1003407255 |
| Provider Name: | ALEXANDRA LEIGH TERPSTRA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/31/2021 |
| Last Updated: | 01/31/2021 |
Provider Practice Location
1256 WALKER AVE NW
GRAND RAPIDS
MI
49504
Practice Location Phone/Fax
| Phone: | 6162728518 |
| Fax: |
Provider Mailing Location
1256 WALKER AVE NW
GRAND RAPIDS
MI
49504
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |