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

Vanessa Shantel Lidge

Individual provider Behavior Technician · NPI 1891626701

Vanessa Shantel Lidge is a Behavior Technician in Phoenix, Arizona. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

41920 N 45th Gln
Phoenix, AZ 85086-1455
Phone: (716) 367-8605
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 number1891626701
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 28, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

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