IndividualActive
Shady Anderson, BT
NPI 1164155313 · Behavior Technician · Gaylord, MI
Shady Anderson, BT is a Behavior Technician provider in Gaylord, MI (NPI 1164155313).
Provider details
- NPI number
- 1164155313
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- BT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
940 N Center Ave
Gaylord, MI 49735-9318
Phone: (844) 854-1116
Street-level locationGet directions
Mailing address
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Registry dates
- Enumerated
- 2022-07-06
- Last updated
- 2022-07-06
- Certified
- 2022-07-06
Frequently asked questions
- What is Shady Anderson's NPI number?
- Shady Anderson's National Provider Identifier (NPI) is 1164155313, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shady Anderson's specialty?
- Shady Anderson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Shady Anderson located?
- Shady Anderson's practice location on file with NPPES is 940 N Center Ave, Gaylord, MI 49735-9318.
- What is Shady Anderson's phone number?
- The practice phone number listed in the NPPES registry for Shady Anderson is (844) 854-1116.
- Is Shady Anderson's NPI active?
- Yes — Shady Anderson's NPI (1164155313) is active in the NPPES registry as of the last update on 2022-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.