SHELSEA MAGAN TIPPEN (NPI# 1164066114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164066114 |
| Entity Type | Individual |
| Full Name | SHELSEA MAGAN TIPPEN |
| Credential | BCBA, LBA |
| Practice Address |
338 Broadway St Ste 301 Cape Girardeau MO 63701-7331 |
| Mailing Address |
12870 Warren Ln Dexter MO 63841-8317 |
| Practice Telephone | 5732256678 |
| Mailing Telephone | 5736251724 |
| Enumeration Date | 2019-11-02 |
| Last Update Date | 2019-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | 1-19-37807 | Behavioral Health & Social Service Providers | |
| Y | 103K00000X | Behavioral Analyst | 2017028783 | MO | Behavioral Health & Social Service Providers |
| Street Address |
338 BROADWAY ST STE 301 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-7331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629301023 | Michelle L Britwum | Behavioral Analyst | 338 Broadway St Ste 301, Cape Girardeau, MO 63701 | 2009-09-16 |
| 1487264388 | Katie Lynn Powell | Behavioral Analyst | 338 Broadway St Ste 301, Cape Girardeau, MO 63701-7331 | 2020-08-05 |
| 1881165934 | Tonia Dolan | Assistant Behavior Analyst | 338 Broadway St Ste 301, Cape Girardeau, MO 63701-7331 | 2018-12-16 |
| 1851862908 | Thomas Williams | Assistant Behavior Analyst | 338 Broadway St Ste 301, Cape Girardeau, MO 63701-7331 | 2018-12-16 |
| 1720563471 | Rachel Elizabeth Jeter | Behavioral Analyst | 338 Broadway St Ste 301, Cape Girardeau, MO 63701-7331 | 2018-09-28 |
| 1174848345 | Andrea S Van Horn | Behavioral Analyst | 338 Broadway St Ste 301, Cape Girardeau, MO 63701-7331 | 2010-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003432972 | Stacy R Klusmeier | Behavioral Analyst | 2809 Valley Creek Rd, Cape Girardeau, MO 63701-8938 | 2020-06-17 |
| 1568093219 | Lacey Cook | Behavioral Analyst | 3105 Independence St Ste B, Cape Girardeau, MO 63703-5042 | 2020-01-31 |
| 1326523085 | Alexa Helen Wesselhoff | Behavioral Analyst | 338 Broadway St Ste 331, Cape Girardeau, MO 63701-7331 | 2018-09-28 |
| 1528590254 | Isaac Nzuki | Behavioral Analyst | 338 Broadway St Ste 504, Cape Girardeau, MO 63701-7331 | 2017-03-31 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| 1629301023 | Michelle L Britwum | Behavioral Analyst | 338 Broadway St Ste 301, Cape Girardeau, MO 63701 | 2009-09-16 |
| 1619155421 | Jessica Lynn Harrison | Behavioral Analyst | 611 N Fountain St, Cape Girardeau, MO 63701-7244 | 2008-02-04 |
| 1487264388 | Katie Lynn Powell | Behavioral Analyst | 338 Broadway St Ste 301, Cape Girardeau, MO 63701-7331 | 2020-08-05 |
| 1194341958 | Rachel Francis | Behavioral Analyst | 611 N Fountain St, Cape Girardeau, MO 63701-7244 | 2020-06-17 |
| 1891316493 | Ashten Ozbun | Behavioral Analyst | 611 N Fountain St, Cape Girardeau, MO 63701-7244 | 2020-05-05 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
Please comment or provide details below to improve the information on SHELSEA MAGAN TIPPEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.