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

Shadiamond D Tidwell

Individual provider Behavior Technician · NPI 1659200475

Shadiamond D Tidwell is a Behavior Technician in Dearborn, Michigan. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

5111 Auto Club Dr
Dearborn, MI 48126-2749
Phone: (313) 406-5055
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1659200475
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address5111 Auto Club Dr, Dearborn, MI 48126-2749

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