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

Shane Simon, SWT

Individual provider Behavior Technician · NPI 1356158711

Shane Simon, SWT is a Behavior Technician in Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

812 E Jolly Rd
Lansing, MI 48910-6825
Phone: (517) 237-7350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 6803086917 (MI)

Record details

NPI number1356158711
Entity typeIndividual (Type 1)
GenderMale
Credentials SWT
Sole proprietorNo
NPI enumeratedDecember 18, 2024
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024
Mailing address812 E Jolly Rd, Lansing, MI 48910-6825

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