MEDICARE: SHIRLEEN REGINE SIPP BCBA, LBA

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	1-20-46066	NV
2	103K00000X	Behavior Analyst	LBA0381	NV

General Provider Information

NPI Number	:	1811349251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIRLEEN REGINE SIPP BCBA, LBA

Provider Business Mailing Address
First Line	:	324 WARMSIDE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-5372
Country	:	US
Telephone Number	:	702-881-0404
Fax Number	:

Provider Business Practice Location Address
First Line	:	1775 VILLAGE CENTER CIR STE 190
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-0571
Country	:	US
Telephone Number	:	702-766-9840
Fax Number	:

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

Provider Enumeration Date	:	07/11/2016
Last Update Date	:	11/19/2024

Similar Medicare Providers

1881252419 — MR. CECIL HALL
Practice Location Address:

1775 VILLAGE CENTER CIR STE 190
LAS VEGAS, NV
89134-0571

Practice Phone: 702-766-9840
Practice Fax:

1588335582 — AMANDA AVALOS M.A. CCC-SLP
Practice Location Address:

1775 VILLAGE CENTER CIR STE 190
LAS VEGAS, NV
89134-0571

Practice Phone: 702-463-5460
Practice Fax: 888-316-4826

1326721028 — AUTISM DIAGNOSTIC SERVICES LLC
Practice Location Address:

1775 VILLAGE CENTER CIR STE 190
LAS VEGAS, NV
89134-0571

Practice Phone: 702-213-2123
Practice Fax:

1013785690 — CLAUDIA AGUSTIN
Practice Location Address:

1775 VILLAGE CENTER CIR STE 190
LAS VEGAS, NV
89134-0571

Practice Phone: 718-215-5311
Practice Fax: 718-865-5165

1447085253 — GALINA DINEVA RBT
Practice Location Address:

1775 VILLAGE CENTER CIR STE 140
LAS VEGAS, NV
89134-0571

Practice Phone: 702-766-9840
Practice Fax:

1316209000 — MILES TAYLOR
Practice Location Address:

2924 SAPPHIRE SANDS CT
N LAS VEGAS, NV
89031-0571

Practice Phone: 702-649-0649
Practice Fax:

Directions to “ SHIRLEEN REGINE SIPP BCBA, LBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.