Individual
BENNETT SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
773 BANDIT TRL, KELLER, TX 76248-0111
(817) 442-9022
Mailing address
2104 GREENBRIAR DR, SOUTHLAKE, TX 76092-8355
(817) 442-9022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59870
TX
103K00000X
Behavior Analyst
5123
TN
106S00000X
Behavior Technician
RBT-20-117363
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-117363
BACB
TX
Enumeration date
07/13/2021
Last updated
02/08/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us