Shelsea Magan Tippen, BCBA, LBA
Behavior Analyst in Fort Worth, TX. Individual provider (NPI-1).
NPI number1164066114
StatusActive
Last updated in NPPESJul 31, 2024
Details
- NPI
- 1164066114
- Entity type
- Individual (NPI-1)
- Name
- Shelsea Magan Tippen
- Credential
- BCBA, LBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2019
- Certification date
- Jul 31, 2024
- Last updated
- Jul 31, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-19-37807 | – | Yes |
| 103K00000X | Behavior Analyst | 7205 | TX | |
| 103K00000X | Behavior Analyst | 2017028783 | MO |
Practice location
4201 Bridgeview DrFort Worth, TX 76109-9571
Phone 817-369-3092
Mailing address
4201 Bridgeview DrFort Worth, TX 76109-9571
Phone 573-625-1724
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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