Individual
STEPHANIE EXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1111 40TH ST SE, GRAND RAPIDS, MI 49508-6084
(616) 885-8078
(616) 885-8078
Mailing address
1111 40TH ST SE, GRAND RAPIDS, MI 49508-6084
(616) 885-8078
(616) 885-8078
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/11/2015
Last updated
01/10/2025
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