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

Shannon Sullivan

Individual provider Behavior Technician · NPI 1487536611

Shannon Sullivan is a Behavior Technician in Saint Clair, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

1159 S Carney Dr
Saint Clair, MI 48079-5569
Phone: (810) 487-5571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 7401002983 (MI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1487536611
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 21, 2025
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025
Mailing address5451 Hampton Pl, Saginaw, MI 48604-9284

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