Sydney Affholder
Individual provider Active NPI Behavior Technician · Wyoming, MI
NPI 1548050669 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1548050669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1150 32ND St SW
Wyoming, MI 49509-2875 - Phone
- (989) 702-2082
- NPI assigned
- May 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | MI | Yes |
Addresses
Primary practice location
1150 32ND St SW
Wyoming, MI 49509-2875
Mailing address
1893 Sweet Fern Way
Traverse City, MI 49696-8936
Phone (231) 590-8723
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.