Healthcare Provider Details

I. General information

NPI: 1336893536
Provider Name (Legal Business Name): BRIANA FAE SCHWINNEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2022
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 3 MILE ROAD NW SUITE 200
GRAND RAPIDS MI
49544-1691
US

IV. Provider business mailing address

3270 KILLIAN ST UNIT 105
GRAND RAPIDS MI
49525-9549
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax: 772-675-9100
Mailing address:
  • Phone: 248-804-4355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: