Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sebastian Taro Jewell-Wiertalla

Individual provider Behavior Technician · NPI 1205522919

Sebastian Taro Jewell-Wiertalla is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

120 Stevens St SW
Grand Rapids, MI 49507-1526
Phone: (855) 832-6727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1205522919
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2023
Last updated in NPPESApril 14, 2023
Certification dateApril 14, 2023

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