Stacey Hysell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5630 Lake Michigan Dr Ste B
Allendale, MI 49401-8115

Phone

(616) 566-1917

NPI assigned

Sep 26, 2025

Last updated

Sep 26, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sonder Center for Neurodevelopment LLC

  • Behavior Analyst
  • Allendale, MI
  • NPI 1417786831

  Behavior Technician

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1942173869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MADISON AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 LAKE MICHIGAN DR STE B",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018115",
            "telephone_number": "616-566-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYSELL",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heritage Homes, Inc.
• Kaitlyn Herman
• Stephen James Hickner, MD
• Frederick Hoekzema Jr., DDS
• Ella Hudson
• Fluarry Dwayne Jackson Jr., LLMSW
• Tabita Jackson
• Donaira Jacobs
• Todd Jacob Jager I, ATC
• Trent Andrew Johnson, DC

• Behavior Technician in Allendale, MI
• Providers in Allendale, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.