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Active NPI 1861118077 Individual Practitioner Female Practitioner

Shaniya Nicole Ballestero

Technician/Technologist • Dearborn, MI

Professional Overview & Biography Verified Profile Summary

Shaniya Ballestero is a registered healthcare professional specializing in Technician/Technologist in Dearborn, MI. Practice services are available at 19853 OUTER DR STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19853 Outer Dr Ste 110

Dearborn, MI 481242044

Telephone 3134065056

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist in Dearborn, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 2.0 Yrs
Regional Practice Density
239 Specialists

Practicing in Dearborn, MI (2721 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-18
Technician/Technologist Primary Specialty

NUCC Taxonomy Code: 156F00000X

A broad category grouping different kinds of technologists and technicians. See individual definitions.

Psychologist - Clinical Child & Adolescent

NUCC Taxonomy Code: 103TC2200X

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Meghan Kelley

Technician/Technologist

NPI 1003591157
Randy Hunter

Behavior Technician

NPI 1003660952
Dayonna Scott

Behavior Technician

NPI 1003662842
Haider Almansori

Behavior Technician

NPI 1003705526
Amirah Albaneh

Behavior Technician

NPI 1003799966
Reem Abushawish

Technician/Technologist

NPI 1013553130

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 19, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2022

Registered at 19853 OUTER DR STE 110, DEARBORN, MI 481242044 (Tel: 3134065056)

📍
Updated Business Mailing Address October 19, 2022

Registered at 19853 OUTER DR STE 110, DEARBORN, MI 481242044 (Tel: 3136224035)

👤
Provider Name / Credentials Updated October 19, 2022

Recorded as SHANIYA BALLESTERO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2022

Psychologist

🟢
Initial NPI Registration & Enumeration October 19, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861118077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2022
Last Update: October 19, 2022
Sole Proprietor: No

Mailing Address

19853 Outer Dr Ste 110

Dearborn, MI 481242044

Phone: 3136224035

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.