Provider Demographics
NPI:1275925810
Name:NYMAN, SHELBIE (BCBA/LBS)
Entity Type:Individual
Prefix:
First Name:SHELBIE
Middle Name:
Last Name:NYMAN
Suffix:
Gender:F
Credentials:BCBA/LBS
Other - Prefix:
Other - First Name:SHELBIE
Other - Middle Name:
Other - Last Name:FELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA/LBS
Mailing Address - Street 1:275 CUMBERLAND PARKWAY
Mailing Address - Street 2:316
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-5677
Mailing Address - Country:US
Mailing Address - Phone:844-588-4222
Mailing Address - Fax:717-775-3443
Practice Address - Street 1:2225 SYCAMORE STREET
Practice Address - Street 2:SUITE 120
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111
Practice Address - Country:US
Practice Address - Phone:844-588-4222
Practice Address - Fax:717-775-3443
Is Sole Proprietor?:No
Enumeration Date:2015-02-18
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst