Healthcare Provider Details

I. General information

NPI: 1437068988
Provider Name (Legal Business Name): ANASTASIA SHELDON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7007 DEXTER ANN ARBOR RD
DEXTER MI
48130-8568
US

IV. Provider business mailing address

5577 SENEY CIR N
HAMBURG TWP MI
48189-8165
US

V. Phone/Fax

Practice location:
  • Phone: 734-985-2355
  • Fax: 734-418-0794
Mailing address:
  • Phone: 734-985-2355
  • Fax: 734-418-0794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: