Individual
MRS. DARIAN NICOLE SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA, LABA
Contact information
Practice address
345 N MAIN ST FL 2, WEST HARTFORD, CT 06117-2515
(203) 816-0091
Mailing address
345 N MAIN ST FL 2, WEST HARTFORD, CT 06117-2515
(203) 816-0091
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1490
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LEO922589848
BLUE CROSS BLUE SHIELD
IN
Enumeration date
07/13/2018
Last updated
11/04/2024
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