Sophia Grace Beeckman

NPI #1164186284 in East Lansing, Michigan

Provider Information

NPI Number: 1164186284
Entity Type: Individual
Name: Sophia Grace Beeckman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 25, 2021
Last Updated: Oct 25, 2021

Practice Location

Address: 612 W LAKE LANSING RD
City: East Lansing
State: Michigan
ZIP Code: 48823-8528
Phone: (818) 241-6780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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