MEDICARE: GABRIELLA I SHIPLEY

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	106S00000X	Behavior Technician		WA

General Provider Information

NPI Number	:	1932032323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLA I SHIPLEY

Provider Business Mailing Address
First Line	:	6405 CHAPEL HILL BLVD APT J101
Second Line	:
City	:	PASCO
State	:	WA
Zip	:	99301-3290
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6405 CHAPEL HILL BLVD APT J101
Second Line	:
City	:	PASCO
State	:	WA
Zip	:	99301-3290
Country	:	US
Telephone Number	:	360-403-6391
Fax Number	:

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

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “ GABRIELLA I SHIPLEY ” Practice Location

Language	Start Address	Practice Location

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