Individual provider · Type 1 NPI
Sandra Jean Wynn-Stelt, MA LLP BCBA
Intellectual & Developmental Disabilities Psychologist · Grand Rapids, MI
NPI number
1033398581
Active
Practice location
680 3 Mile Rd NW, Suite C
Grand Rapids, MI 49544-8218
Fax (616) 647-3467
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 1-14-15612 (MI) |
| Cognitive & Behavioral Psychologist | 103TB0200X | 6301008405 (MI) |
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 6301008405 (MI) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
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About NPI 1033398581
Sandra Jean Wynn-Stelt, MA LLP BCBA's National Provider Identifier is 1033398581, issued on Nov 1, 2007. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 17, 2020.