Individual
STEPHANIE SWEEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3292 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 365-8920
(616) 365-8971
Mailing address
32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 48025-2454
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-11-9708
CA
103K00000X
Behavior Analyst
2013027034
MO
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q021118
—
TN
Enumeration date
05/05/2011
Last updated
07/22/2022
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