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Bennett Shipley , BCBA

Behavior Analyst β€’ Keller, TX

Active NPI 1992377634 Individual Practitioner Female Practitioner
Practice location in NPPES

773 Bandit Trl
Keller, TX 762480111

Call 8174429022 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

773 Bandit Trl

Keller, TX 762480111

Telephone 8174429022
Organization at the Same NPPES Address or Phone
Pine Cone Therapies Llc Facility NPI 1013143767

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Keller and Texas

36 active clinicians are listed under Behavior Analyst with a practice address in Keller, TX (5,843 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Keller

0% of these 36 clinicians have the CMS telehealth indicator.

0% of these 36 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-02-08
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES 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

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Bacb
20-117363 (TX)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Casey Giles

Occupational Therapist

NPI 1437723483

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location February 08, 2023

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

πŸ‘€
Provider Name / Credentials Updated February 08, 2023

Recorded as BENNETT SHIPLEY, BCBA

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

Behavior Analyst (license number reported to NPPES: TN 5123)

βœ…
NPI Profile Active July 13, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 13, 2021

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

πŸ“
Business Mailing Address (Initial Record) July 13, 2021

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

πŸ‘€
Provider Name / Credentials (Initial Record) July 13, 2021

Recorded as BENNETT RACHEL, RBT

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

Behavior Technician (license number reported to NPPES: TX RBT-20-117363)

🟒
Initial NPI Registration & Enumeration July 13, 2021

First registered as active Individual Practitioner in NPPES Database.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.