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

Trista Marie Shuttleworth

Individual provider Behavior Technician · NPI 1982466421

Trista Marie Shuttleworth is a Behavior Technician in Grosse Pointe Woods, Michigan. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

19251 Mack Ave Ste M450
Grosse Pointe Woods, MI 48236-2893
Phone: (734) 536-7875
Show map & directions

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

Additional practice locations (1)

  • 13973 Farmington Rd, Livonia, MI 48154-5403 — (734) 855-4490

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1982466421
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 30, 2024
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address19251 Mack Ave Ste M450, Grosse Pointe Woods, MI 48236-2893

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