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Search › Michigan › 103K00000X

Kristina Bourdo-Moulder, BCBA, LBA

NPI 1609320811 · on the registry since 2016

Practice

Address
2814 Woodcliff Cir Se
Grand Rapids, MI 49506
Phone
(855) 832-6727
Clinicians at this address
157

Additional practice sites

  • 27777 Inkster Rd Ste 100, Farmington Hills, MI

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
247200000X
101YM0800X
103K00000X
106S00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan