Individual provider Active NPI

Shelby Elizabeth Dipilla, BCBA

  • Behavior Analyst
  • Dothan, AL
National Provider Identifier
1821331919
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-29817 Issued in AL
Practice address
2543 Ross Clark Cir
Dothan, AL 36301-4925
Phone
(334) 699-4007
NPI assigned
Mar 27, 2013
Last updated
Mar 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-29817 AL Primary
Developmental Therapist 222Q00000X NU

Addresses

Primary practice location

2543 Ross Clark Cir
Dothan, AL 36301-4925

Mailing address

25 Courtyard Way
Enterprise, AL 36330-5054
Phone (334) 477-4686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centrum ABA, LLC Current Accepting new patients

Locations

204 N Main St
Enterprise, AL 36330
Phone (334) 350-0711

115 W Covington Ave
Opp, AL 36467
Phone (334) 334-2824

181 W Reynolds St
Ozark, AL 36360
Phone (334) 342-0886

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1821331919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COURTYARD WAY",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363305054",
            "telephone_number": "334-477-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2543 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014925",
            "telephone_number": "334-699-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPILLA",
        "first_name": "SHELBY",
        "middle_name": "ELIZABETH",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "1-17-29817",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.