Healthcare Provider Details

I. General information

NPI: 1205752326
Provider Name (Legal Business Name): SHAKEITA HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27777 INKSTER RD SUITE 100
FARMINGTON HILLS MI
48334-5310
US

IV. Provider business mailing address

28222 FRANKLIN RD
SOUTHFIELD MI
48034-1659
US

V. Phone/Fax

Practice location:
  • Phone: 855-772-8847
  • Fax:
Mailing address:
  • Phone: 248-731-9342
  • Fax: 248-327-0307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: