DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KYLYNN SHOEMAKER

MEDICARE: KYLYNN SHOEMAKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1841133691
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLYNN SHOEMAKER
Provider Business Mailing Address
First Line : 4234 CASCADE RD SE STE 3
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-8384
Country : US
Telephone Number : 616-802-4840
Fax Number :
Provider Business Practice Location Address
First Line : 4234 CASCADE RD SE STE 3
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-8384
Country : US
Telephone Number : 616-802-4840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

Similar Medicare Providers

1225971450 — HEATHER MARIE STRESSMAN
Practice Location Address:
4234 CASCADE RD SE STE 3
GRAND RAPIDS, MI
49546-8384
Practice Phone: 888-614-4144
Practice Fax: 888-614-4144
1174158331 — MRS. HAILEY ELIZABETH GILLAM MA, BCBA, LBA
Practice Location Address:
4234 CASCADE RD SE
GRAND RAPIDS, MI
49546-8384
Practice Phone: 574-904-9433
Practice Fax: 844-272-7692
1063356731 — GAVIN J WILLETTE
Practice Location Address:
4234 CASCADE RD SE STE 3
GRAND RAPIDS, MI
49546-8384
Practice Phone: 616-202-4840
Practice Fax:
1306780754 — REBECCA SZPIECH
Practice Location Address:
4234 CASCADE RD SE STE 3
GRAND RAPIDS, MI
49546-8384
Practice Phone: 616-202-4840
Practice Fax:
1023952264 — MICHAEL MERCHANT
Practice Location Address:
4234 CASCADE RD SE STE 3
GRAND RAPIDS, MI
49546-8384
Practice Phone: 616-202-4840
Practice Fax:
1306788971 — ALEAH TRITCH
Practice Location Address:
4234 CASCADE RD SE STE 3
GRAND RAPIDS, MI
49546-8384
Practice Phone: 616-202-4840
Practice Fax:

Directions to “ KYLYNN SHOEMAKER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.