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

Stacey Willis

Individual provider Behavior Technician · NPI 1710717913

Stacey Willis is a Behavior Technician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

4234 Cascade Rd SE Ste 3
Grand Rapids, MI 49546-8384
Phone: (877) 654-4144
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MI)

Record details

NPI number1710717913
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 3, 2024
Last updated in NPPESAugust 3, 2024
Certification dateAugust 3, 2024
Mailing address4234 Cascade Rd Se Ste 3, Grand Rapids, MI 49546-8384

Other providers in Grand Rapids