Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Shane Dennis Bliss

Individual provider Behavior Technician · NPI 1174094791

Mr. Shane Dennis Bliss is a Behavior Technician in Prudenville, Michigan. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1070 W Houghton Lake Dr
Prudenville, MI 48651-9673
Phone: (989) 422-0279
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1174094791
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 7, 2018
Last updated in NPPESDecember 7, 2018

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