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Deactivated NPI 1467945345 Deactivated / Inactive NPI Female Practitioner

Amy Whitten Shaw

Behavior Technician • Mount Pleasant, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Amy Shaw has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 14, 2018
NPI Deactivation Date December 12, 2024
Total Practice Duration ~6 Years of Practice (2018 – 2024)

Professional Overview & Biography Verified Profile Summary

Amy Shaw was a registered Behavior Technician practicing in Mount Pleasant, MI. Throughout an active medical career spanning 6 years, Amy Shaw provided care at the practice location at 2520 UNIVERSITY PARK BLDG D until profile deactivation on 2024-12-12.

Practice Location & Contact Primary Location

Practice Address

2520 University Park Bldg D

Mount Pleasant, MI 488584464

Telephone 9897742529

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Mount Pleasant, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.1 Yrs
Regional Practice Density
103 Specialists

Practicing in Mount Pleasant, MI (63826 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

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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.

Practice Associates & Co-Workers

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

26 Associated Practitioners
Carolyn Peters

Behavior Technician

NPI 1003309071
Lyric Peterson

Behavior Technician

NPI 1043805377
Nicole Leineke

Behavior Technician

NPI 1093328759
Alyssa Holcomb

Behavior Technician

NPI 1104486380
Mariam Saad

Behavior Technician

NPI 1245892231
Jeremy Stembridge , PSY SPEC

Psychologist - School

NPI 1306336466

PSYSPEC

Career & Practice History Timeline

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

14 Historical Events
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NPI Profile Deactivated December 12, 2024

Record deactivated on December 12, 2024

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Updated Practice Location June 18, 2021

Registered at 115 W ALLEGAN ST, OTSEGO, MI 490781115 (Tel: 2316684909)

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Updated Business Mailing Address June 18, 2021

Registered at 1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 331344108 (Tel: 8448541116)

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2021

Behavior Technician

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Updated Business Mailing Address May 18, 2021

Registered at 7108 S KANNER HWY, STUART, FL 349977462

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Updated Practice Location March 30, 2021

Registered at 2814 WOODCLIFF CIR SE, GRAND RAPIDS, MI 495063155 (Tel: 2486221595)

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Updated Business Mailing Address March 30, 2021

Registered at 2814 WOODCLIFF CIR SE, GRAND RAPIDS, MI 495063155 (Tel: 2486221595)

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2021

Assistant Behavior Analyst

NPI Profile Active June 14, 2018

NPI status registered as active in NPPES database

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Updated Practice Location June 14, 2018

Registered at 2520 UNIVERSITY PARK BLDG D, MOUNT PLEASANT, MI 488584464 (Tel: 9897742529)

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Updated Business Mailing Address June 14, 2018

Registered at 2520 UNIVERSITY PARK BLDG D, MOUNT PLEASANT, MI 488584464

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Provider Name / Credentials Updated June 14, 2018

Recorded as AMY SHAW

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2018

Behavior Technician

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Initial NPI Registration & Enumeration June 14, 2018

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: 1467945345
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2018
Last Update: June 14, 2018
Deactivation Date: December 12, 2024

Mailing Address

2520 University Park Bldg D

Mount Pleasant, MI 488584464

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.