Most Relevant Information
Provider Data
| NPI Number: | 1003592098 |
| Provider Name: | KARA GROVE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/23/2023 |
| Last Updated: | 06/23/2023 |
Provider Practice Location
720 LIVINGSTON ST
BAY CITY
MI
487086392
Practice Location Phone/Fax
| Phone: | 9897781090 |
| Fax: |
Provider Mailing Location
PO BOX 741
STANDISH
MI
486580741
Provider Mailing Phone/Fax
| Phone: | 9898469631 |
| Fax: |