Individual
NEAL ALLEN SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6050 ERIN PARK DR, COLORADO SPRINGS, CO 80918-3488
(719) 465-3989
Mailing address
6050 ERIN PARK DR, COLORADO SPRINGS, CO 80918-3488
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437321189
TRICARE (HEALTHNET)/ KAISER (BEACON HEALTH OPTIONS)
—
Enumeration date
12/29/2017
Last updated
12/29/2017
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