Active NPI
Courtney Lynne Shults, RBT
- Behavior Technician
- Farmington Hills, MI
National Provider Identifier
1093603623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 29226 Orchard Lake Rd Ste 100
Farmington Hills, MI 48334-3046 - Phone
- (248) 621-8883
- NPI assigned
- Jun 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
29226 Orchard Lake Rd Ste 100
Farmington Hills, MI 48334-3046
Mailing address
23800 Northwestern Hwy Ste 190L
Southfield, MI 48075-7740
Phone (231) 412-1582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1093603623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23800 NORTHWESTERN HWY STE 190L",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480757740",
"telephone_number": "231-412-1582",
"fax_number": "877-927-8461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29226 ORCHARD LAKE RD STE 100",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343046",
"telephone_number": "248-621-8883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULTS",
"first_name": "COURTNEY",
"middle_name": "LYNNE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-24",
"last_updated": "2025-06-24",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.