LYDIA SHANGLE
NPI 1063050797
Behavior Technician in Kentwood, MI

Active since December 12, 2019
3361 36TH ST SE, KENTWOOD, MI 49512(616) 942-2522 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lydia Shangle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYDIA SHANGLE (NPI 1063050797) is an individual behavior technician in Kentwood, Michigan and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1063050797
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameLYDIA SHANGLE
Location Address3361 36TH ST SEKentwood, MI 49512-2809
Mailing Address3361 36th St SeKentwood, MI 49512-2809
Sole ProprietorNo
Enumeration DateDecember 12, 2019
NPI 1063050797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
3361 36TH ST SE, Kentwood, MI 49512

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
3361 36TH ST SE
GRAND RAPIDS, MI 49512
Behavior Analyst
3361 36TH ST SE
KENTWOOD, MI 49512
Behavior Technician
3361 36TH ST SE
KENTWOOD, MI 49512
Behavior Technician
3361 36TH ST SE
KENTWOOD, MI 49512
Speech-Language Pathologist
3361 36TH ST SE
KENTWOOD, MI 49512
Behavior Technician
3361 36TH ST SE
KENTWOOD, MI 49512
Behavior Technician
3361 36TH ST SE
KENTWOOD, MI 49512
Behavior Technician
3361 36TH ST SE
GRAND RAPIDS, MI 49512

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydia Shangle's NPI number?

The NPI number for Lydia Shangle is 1063050797. It was assigned to this individual provider in the NPPES registry on December 12, 2019.

Where is Lydia Shangle located?

Lydia Shangle practices at 3361 36th St SE, Kentwood, MI 49512. The listed phone number is (616) 942-2522.

What is Lydia Shangle's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Lydia Shangle was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.