Phillips, Shane

Phillips, Shane is an sole proprietor health care provider with primary practice located at 1420 Plaza Dr , Petoskey MI 49770-9420. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Phillips, Shane can be contacted via phone (231) 347-6701.

Contact Information

Primary practice address
1420 Plaza Dr Petoskey MI 49770-9420
Phone: (231) 347-6701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 7401003400 Michigan

Profile Details

NPI number 1205743143
LBN Legal business name Phillips, Shane
Credentials MS, BCBA, LBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2026
Last updated Aug 26th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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