Provider Demographics
NPI:1265019236
Name:SHELBY, GABRIELLE (BCBA)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:SHELBY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:
Other - Last Name:REIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2005 AEROPLAZA DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80916-4207
Mailing Address - Country:US
Mailing Address - Phone:719-425-7771
Mailing Address - Fax:
Practice Address - Street 1:2005 AEROPLAZA DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80916-4207
Practice Address - Country:US
Practice Address - Phone:719-425-7771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst