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General NPI Number Information
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NPI Number | 1417786831
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Entity Type | Organization
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Legal Business Name | SONDER CENTER FOR NEURODEVELOPMENT LLC
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Dates
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Enumeration Date | 08/01/2024
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Last Update Date | 09/21/2025
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Provider Practice Location Address
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Address Line | 5630 LAKE MICHIGAN DR STE B
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City | ALLENDALE
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State | MI
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Zip | 49401-8115
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Country | US
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Telephone | 616-566-1917
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Fax | 616-953-8815
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Provider Business Mailing Address
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Address Line | 2318 ROLLING GREEN PL
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City | SAGINAW
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State | MI
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Zip | 48603-3740
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Country | US
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Telephone | 989-770-0753
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AUBREY PETTYPLACE
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Credential | MA, BCBA, LBA
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Telephone | 989-770-0753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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