Miranda Lynn Wilson, is a
Behavior Analyst based in Grand Rapids, Michigan. Miranda Lynn Wilson is licensed to practice in Michigan (license number 7401002203) and her current practice location is
120 Stevens St Sw, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 469-3870.
NPI number for Miranda Lynn Wilson is 1558963082 and her current mailing address is 7108 S Kanner Hwy, Stuart, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558963082.
Healthcare Provider's Profile
Full Name | Miranda Lynn Wilson |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 120 Stevens St Sw, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558963082
- Provider Enumeration Date: 11/10/2020
- Last Update Date: 09/19/2023
Medical Identifiers
Medical identifiers for Miranda Lynn Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558963082 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Michigan) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | 7401002203 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miranda Lynn Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miranda Lynn Wilson, 7108 S Kanner Hwy, Stuart, FL 34997-7462 Ph: () - | Miranda Lynn Wilson, 120 Stevens St Sw, Grand Rapids, MI 49507-1526 Ph: (616) 469-3870 |
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