Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992377634 Individual Practitioner Female Practitioner

Bennett Shipley , BCBA

Behavior Analyst • Keller, TX

Professional Overview & Biography Verified Profile Summary

Bennett Shipley, BCBA is a registered healthcare professional specializing in Behavior Analyst in Keller, TX. Practice services are available at 773 BANDIT TRL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

773 Bandit Trl

Keller, TX 762480111

Telephone 8174429022
Associated Practice Facility / Clinic
🏢 Pine Cone Therapies Llc Facility NPI 1013143767

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Keller, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
36 Specialists

Practicing in Keller, TX (5867 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-08
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License TX 1-22-59870

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License TN 5123

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

State License TX RBT-20-117363

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bacb
20-117363 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Bahati Kimondo

Behavior Technician

NPI 1003541152
Chante Brooks

Behavior Technician

NPI 1023680618
Robert Lemus

Social Worker - Clinical

NPI 1043933773
Summer Zilisch

Behavior Technician

NPI 1053026062
Gabrielle Jackson

Behavior Technician

NPI 1053879957
Tess Treleven , BA

Behavior Technician

NPI 1063159598

Bachelor of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 08, 2023

Registered at 773 BANDIT TRL, KELLER, TX 762480111 (Tel: 8174429022)

👤
Provider Name / Credentials Updated February 08, 2023

Recorded as BENNETT SHIPLEY, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2023

Behavior Analyst (License #5123 in TN)

NPI Profile Active July 13, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2021

Registered at 2104 GREENBRIAR DR, SOUTHLAKE, TX 760928355 (Tel: 8174429022)

📍
Updated Business Mailing Address July 13, 2021

Registered at 2104 GREENBRIAR DR, SOUTHLAKE, TX 760928355 (Tel: 8174429022)

👤
Provider Name / Credentials Updated July 13, 2021

Recorded as BENNETT RACHEL, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2021

Behavior Technician (License #RBT-20-117363 in TX)

🟢
Initial NPI Registration & Enumeration July 13, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1992377634
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2021
Last Update: February 08, 2023
Sole Proprietor: No

Mailing Address

2104 Greenbriar Dr

Southlake, TX 760928355

Phone: 8174429022

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.