Shane Phillips, MS, BCBA, LBA

NPI 1205743143 · on the registry since 2026 · sole proprietor

Practice

Address: 1420 Plaza Dr
Petoskey, MI 49770
Phone: (231) 347-6701
Organisation at this address: Miles W Trumble Md Pllc
North Country Community Mental Health
Northern Michigan Pain Specialists Pc
North Country Community Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 39

Registry record

Primary taxonomy: 103K00000X
103K00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-08-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan