SHADIAMOND D TIDWELL
NPI 1659200475
Behavior Technician in Dearborn, MI
About Shadiamond D Tidwell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHADIAMOND D TIDWELL (NPI 1659200475) is an individual behavior technician in Dearborn, Michigan and active in the NPI registry since May 2026.
NPPES Registry Identity
Specialties & Licenses
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.
DEARBORN, MI 48126
DEARBORN, MI 48126
DEARBORN, MI 48126
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 Shadiamond Tidwell's NPI number?
The NPI number for Shadiamond Tidwell is 1659200475. It was assigned to this individual provider in the NPPES registry on May 18, 2026.
Where is Shadiamond Tidwell located?
Shadiamond Tidwell practices at 5111 Auto Club Dr, Dearborn, MI 48126. The listed phone number is (313) 406-5055.
What is Shadiamond Tidwell'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 Shadiamond Tidwell was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.