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Shannon Kirby

Behavior Technician in Bingham Farms, MI. Individual provider (NPI-1).

NPI number1275192510
StatusActive
Last updated in NPPESOct 18, 2021

Details

NPI
1275192510
Entity type
Individual (NPI-1)
Name
Shannon Kirby
Sex
Female
Sole proprietor
No
Enumeration date
Jun 11, 2019
Certification date
Oct 18, 2021
Last updated
Oct 18, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454

Phone 248-712-4266

Mailing address

32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454

Phone 248-712-4266 · Fax 248-839-5725

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Bingham Farms, MI

All 213 Behavior Technician providers in Bingham Farms · All 2,716 providers in Bingham Farms

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