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Individual

SANDRA JEAN WYNN-STELT

Active
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Individual

SANDRA JEAN WYNN-STELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA LLP BCBA

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-14-15612
MI
103TB0200X
Cognitive & Behavioral Psychologist
6301008405
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
6301008405
MI

Other

Enumeration date
11/01/2007
Last updated
04/17/2020
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