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NPI Code Detail

MEDICARE: SONDER CENTER FOR NEURODEVELOPMENT LLC

MEDICARE: SONDER CENTER FOR NEURODEVELOPMENT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1417786831
Entity Type Code : Organization
Provider Name (Legal Business Name) : SONDER CENTER FOR NEURODEVELOPMENT LLC
Provider Business Mailing Address
First Line : 2318 ROLLING GREEN PL
Second Line :
City : SAGINAW
State : MI
Zip : 48603-3740
Country : US
Telephone Number : 989-770-0753
Fax Number :
Provider Business Practice Location Address
First Line : 5630 LAKE MICHIGAN DR STE B
Second Line :
City : ALLENDALE
State : MI
Zip : 49401-8115
Country : US
Telephone Number : 616-566-1917
Fax Number : 616-953-8815
Authorized Official
Title or Position : OWNER
Name : AUBREY PETTYPLACE
Credential : MA, BCBA, LBA
Telephone Number : 989-770-0753
Provider Enumeration Date : 08/01/2024
Last Update Date : 09/21/2025

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Directions to “SONDER CENTER FOR NEURODEVELOPMENT LLC ” Practice Location

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