1. Home
  2. Directory
  3. Michigan
  4. Petoskey
  5. Behavior Analyst
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHANE PHILLIPS MS, BCBA, LBA
NPI 1205743143
Behavior Analyst in Petoskey, MI

Active since August 26, 2026
1420 PLAZA DR, PETOSKEY, MI 49770(231) 347-6701 Get Directions Write a Review

NPPES record added: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shane Phillips Ms, Bcba, Lba NPPES

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

SHANE PHILLIPS MS, BCBA, LBA (NPI 1205743143) is an individual behavior analyst provider in Petoskey, Michigan, licensed in Michigan (7401003400) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1205743143
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameSHANE PHILLIPSCredential: MS, BCBA, LBA
Location Address1420 PLAZA DRPetoskey, MI 49770-9420
Mailing Address1420 Plaza DrPetoskey, MI 49770-9420
Phone(231) 347-6701
Sole ProprietorYes
Enumeration DateAugust 26, 2026
NPPES CertifiedAugust 26, 2026
✔ NPI 1205743143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MI · 7401003400
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
1420 PLAZA DR, Petoskey, MI 49770
Open in Google Maps ↗

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.

JESSICA J KENYON RN
Registered Nurse
1420 PLAZA DR
PETOSKEY, MI 49770
Emmet County (231) 348-3096
AMY JACKSON
Registered Nurse
1420 PLAZA DR
PETOSKEY, MI 49770
Emmet County (231) 347-7890
NORTH COUNTRY COMMUNITY MENTAL HEALTH
Community/Behavioral Health
1420 PLAZA DR
PETOSKEY, MI 49770
Emmet County (231) 439-1233
ERICA CHRISTINE PENNELL LLMSW
Social Worker
1420 PLAZA DR
PETOSKEY, MI 49770
Emmet County (231) 347-7890
MARK BRAENDLE
Registered Nurse
1420 PLAZA DR
PETOSKEY, MI 49770
Emmet County (231) 348-3096
SARAH LOUISE TYNDALL RN
Registered Nurse
1420 PLAZA DR
PETOSKEY, MI 49770
Emmet County (231) 347-7890
JAMES SINCLAIR OTRL
Occupational Therapist
1420 PLAZA DR
PETOSKEY, MI 49770
Emmet County (231) 347-6701
DR. DALE D OWEN JR. MD
Psychiatry & Neurology (Psychiatry)
1420 PLAZA DR
PETOSKEY, MI 49770
Emmet County (231) 347-6701

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 Shane Phillips's NPI number?

The NPI number for Shane Phillips is 1205743143. It was assigned to this individual provider in the NPPES registry on August 26, 2026.

Where is Shane Phillips located?

Shane Phillips practices at 1420 Plaza Dr, Petoskey, MI 49770. The listed phone number is (231) 347-6701.

What is Shane Phillips's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Shane Phillips was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.