Sandra Jean Wynn-Stelt
Behavior Analyst Cognitive & Behavioral Psychologist Intellectual & Developmental Disabilities
680 3 Mile Rd Nw Suite C
Grand Rapids
, Michigan 49544-8218
Sandra Jean Wynn-Stelt
Behavior Analyst Cognitive & Behavioral Psychologist Intellectual & Developmental Disabilities
680 3 Mile Rd Nw Suite C
Grand Rapids
, Michigan 49544-8218
(616) 647-3467
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About
Features
Specialties
- Behavior Analyst
- Cognitive & Behavioral Psychologist
- Intellectual & Developmental Disabilities
Languages spoken
- English
Location
First Address
- Sandra Jean Wynn-Stelt
- 680 3 Mile Rd Nw Suite C
- Grand Rapids, MI
- Zip : 49544-8218
- Fax : (616) 647-3467
- Phone : (616) 647-3460
Second Address
- Sandra Jean Wynn-Stelt
- 680 3 Mile Rd Nw Suite C
- Grand Rapids, MI
- Zip : 49544-8218
- Fax : (616) 647-3467
- Phone : (616) 647-3460
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103K00000X | Behavior Analyst | 1-14-15612 | MI |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 6301008405 | MI |
| Y | 103TM1800X | Intellectual & Developmental Disabilities | 6301008405 | MI |
National Provider Identifier
| NPI | 1033398581 |
|---|---|
| Provider Name | Sandra Jean Wynn-Stelt |
| First Address | Grand Rapids, MI 49544-8218 |
| Second Address | Grand Rapids, MI 49544-8218 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2007 |
| Last Update Date | 17/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.