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NPI Code Detail

MEDICARE: KAITLYN PAIGE SHIPMAN BCBA

MEDICARE:   KAITLYN PAIGE SHIPMAN  BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-24-78187MO

General Provider Information

NPI Number : 1083296297
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN PAIGE SHIPMAN BCBA
Provider Business Mailing Address
First Line : 1114 WOLFRUM RD
Second Line :
City : WELDON SPRING
State : MO
Zip : 63304-7796
Country : US
Telephone Number : 636-266-4340
Fax Number :
Provider Business Practice Location Address
First Line : 1114 WOLFRUM RD
Second Line :
City : WELDON SPRING
State : MO
Zip : 63304-7796
Country : US
Telephone Number : 636-266-4340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2021
Last Update Date : 08/05/2025

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Directions to “ KAITLYN PAIGE SHIPMAN BCBA” Practice Location

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