Individual
SHAWN MICHAEL DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1048 PIERPONT DR STE 9, LANSING, MI 48911-5976
(734) 252-6522
(844) 272-1304
Mailing address
6102 ABBOT RD, EAST LANSING, MI 48823-1410
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401001902
MI
106S00000X
Behavior Technician
820799715
MI
Other
Enumeration date
12/09/2018
Last updated
11/07/2022
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