SANDRA JEAN WYNN-STELT MA LLP BCBA NPI 1033398581

NPI Information

NPI: 1033398581
Provider Name: SANDRA JEAN WYNN-STELT, MA LLP BCBA
Classification: Psychologist - 103TM1800X
Entity Type: Individual

Specialization: Intellectual and Developmental Disabilities

Address:
680 3 MILE RD NW
SUITE C
GRAND RAPIDS, MI
ZIP 49544
Phone: (616) 647-3460
Get Directions

Sandra Jean Wynn-stelt, MA LLP BCBA is an intellectual and developmental disabilities in Grand Rapids, MI. Sandra Jean Wynn-stelt, MA LLP BCBA NPI is 1033398581. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

680 3 MILE RD NW
SUITE C
GRAND RAPIDS, MI
ZIP 49544-218
Phone: (616) 647-3460
Fax: (616) 647-3467

The enumeration date for this NPI number is 11/1/2007 and was last updated on 4/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	6301008405	MICHIGAN	No
2	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	6301008405	MICHIGAN	Yes
3	103K00000X	Behavior Analyst		1-14-15612	MICHIGAN	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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