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

Shaniya Nicole Ballestero

Individual provider Clinical Child & Adolescent Psychologist · NPI 1861118077

Shaniya Nicole Ballestero is a Clinical Child & Adolescent Psychologist in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

19853 Outer Dr Ste 110
Dearborn, MI 48124-2044
Phone: (313) 406-5056
Show map & directions

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

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X (MI)

Record details

NPI number1861118077
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 19, 2022
Last updated in NPPESOctober 19, 2022
Certification dateOctober 18, 2022

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