Individual provider · Type 1 NPI

Lauren Alexis Shupp

Behavior Technician · Southgate, MI

NPI number 1336069087 Active

Practice location

1 Heritage Dr Ste 100
Southgate, MI 48195-3047

Call (734) 767-2250 Map

Mailing address

32100 Telegraph Rd
Bingham Farms, MI 48025-2452

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1336069087

Lauren Alexis Shupp's National Provider Identifier is 1336069087, issued on Jul 21, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Southgate, MI. The record was last updated on Jul 21, 2026.