Healthcare Provider Details

I. General information

NPI: 1417786831
Provider Name (Legal Business Name): SONDER CENTER FOR NEURODEVELOPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 09/21/2025
Certification Date: 09/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5630 LAKE MICHIGAN DR STE B
ALLENDALE MI
49401-8115
US

IV. Provider business mailing address

2318 ROLLING GREEN PL
SAGINAW MI
48603-3740
US

V. Phone/Fax

Practice location:
  • Phone: 616-566-1917
  • Fax: 616-953-8815
Mailing address:
  • Phone: 989-770-0753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: AUBREY PETTYPLACE
Title or Position: OWNER
Credential: MA, BCBA, LBA
Phone: 989-770-0753