MEDICARE: SHELBY MEISTER 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
1	103K00000X	Behavior Analyst	4276	TX
2	103K00000X	Behavior Analyst	1-21-51655	TX

General Provider Information

NPI Number	:	1295400281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBY MEISTER BCBA

Provider Business Mailing Address
First Line	:	516 W BONDS RANCH RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76131-3904
Country	:	US
Telephone Number	:	682-227-2942
Fax Number	:

Provider Business Practice Location Address
First Line	:	516 W BONDS RANCH RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76131-3904
Country	:	US
Telephone Number	:	682-227-2942
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2021
Last Update Date	:	05/12/2026

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Directions to “ SHELBY MEISTER BCBA” Practice Location

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