Active NPI
Shelby Elizabeth Dipilla, BCBA
- Behavior Analyst
- Dothan, AL
National Provider Identifier
1821331919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-29817
- Practice address
- 2543 Ross Clark Cir
Dothan, AL 36301-4925 - Phone
- (334) 699-4007
- NPI assigned
- Mar 27, 2013
- Last updated
- Mar 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Enterprise, AL
- NPI 1871072793
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.