Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA LYNN WILSON
ActiveMIRANDA LYNN WILSON is a Behavior Analyst healthcare provider located in GRAND RAPIDS, Michigan. NPI 1558963082 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1558963082
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2020 (5.6135672968082 yrs)
- Last Updated
- Oct 6, 2025
- License
-
7401002203 (MI)
Practice Information
- Address
-
600 3 MILE ROAD NW SUITE 200GRAND RAPIDS, MI, 495441691Browse MI providers · Browse ZIP 49544
- Phone
- 6164693870
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
- Additional Specialty
- Behavior Technician
Other Behavior Analyst Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| BETH ANN BOOGHOLT | M.S., BCBA, LLP, LBA | 1265760128 |
| JILL RENAE EMMICK | M.A. BCBA | 1114223997 |
| STEPHANIE SWEEBE | — | 1942592209 |
| CASEY N MOORE | BCBA | 1275815227 |
| DR. CANDICE M LAKE | BCBA-D, LLP | 1285918193 |
| MRS. KARLA ANNE FOISY | — | 1336416924 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.