IndividualActive
Shane Mullikin
NPI 1669816476 · Health & Wellness Coach · Apple Valley, CA
Provider details
- NPI number
- 1669816476
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
12555 Navajo Rd
Apple Valley, CA 92308-7256
Phone: (760) 247-8001
Street-level locationGet directions
Mailing address
12555 Navajo Rd
Apple Valley, CA 92308-7256
Registry dates
- Enumerated
- 2013-04-23
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.