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SHELLY MIICAH ABA INC NPI 1396255527


NPI Information

NPI: 1396255527
Provider Name: SHELLY MIICAH ABA INC
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
4363 WINDING CIR
COLORADO SPRINGS, CO
ZIP 80917
Phone: (719) 235-2796
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SHELLY MIICAH ABA INC is a behavior analyst in Colorado Springs, CO. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. SHELLY MIICAH ABA INC NPI is 1396255527. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4363 WINDING CIR
COLORADO SPRINGS, CO
ZIP 80917-635
Phone: (719) 235-2796

The provider's authorized official is Shelly Micah Childs .
The authorized official title is Behavior Analyst and has the following contact phone number (719) 235-2796.

The enumeration date for this NPI number is 10/2/2017 and was last updated on 10/2/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior Analyst1-14-17377COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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