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Shannon Reichow

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

NPI number1669147286
StatusActive
Last updated in NPPESAug 16, 2021

Details

NPI
1669147286
Entity type
Individual (NPI-1)
Name
Shannon Reichow
Sex
Female
Sole proprietor
No
Enumeration date
Aug 16, 2021
Certification date
Aug 16, 2021
Last updated
Aug 16, 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

41521 W 11 Mile Rd
Novi, MI 48375-1803

Phone 269-370-5525

Mailing address

41521 W 11 Mile Rd
Novi, MI 48375-1803

Phone 269-370-5525

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.

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