Shelsea Magan Tippen, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-37807

Practice address

4201 Bridgeview Dr
Fort Worth, TX 76109-9571

Phone

(817) 369-3092

NPI assigned

Nov 2, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1164066114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 BRIDGEVIEW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761099571",
            "telephone_number": "573-625-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BRIDGEVIEW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761099571",
            "telephone_number": "817-369-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPEN",
        "first_name": "SHELSEA",
        "middle_name": "MAGAN",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-02",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "7205",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2017028783",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-37807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Christopher Tinley, MD
• Barbara Tinner, SLPA
• Karla Denise Tinoco
• Kirby Tinsley, PA-C
• Leon Tio, D.O.
• Jerlene Bonner Tippett
• Hilary Tipps, CRNA
• Monet Avery Tipton
• Nicholas Tyler Tipton, DDS
• Urmila H Tirodker, M.D.

• Behavior Analyst in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.