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

Shady Louise Anderson, BT

Individual provider Behavior Technician · NPI 1164155313

Shady Louise Anderson, BT is a Behavior Technician in Gaylord, Michigan. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

940 N Center Ave
Gaylord, MI 49735-9318
Phone: (844) 854-1116
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 number1164155313
Entity typeIndividual (Type 1)
GenderFemale
Credentials BT
Sole proprietorNo
NPI enumeratedJuly 6, 2022
Last updated in NPPESJuly 6, 2022
Certification dateJuly 6, 2022

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