Autumn Nicole Shoup
Autumn Nicole Shoup is a Behavior Technician in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2025
Practice location Address checks out
551 36th St SEGrand Rapids, MI 49548-2355
Phone: (844) 854-1116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (MI) |
|---|
Record details
| NPI number | 1508729054 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 3, 2025 |
| Last updated in NPPES | December 11, 2025 |
| Certification date | December 11, 2025 |
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