Provider Demographics
NPI:1568850360
Name:PIPPINS, LINDSEY MICHELLE (MABC, BT, QIDP, DDP)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:MICHELLE
Last Name:PIPPINS
Suffix:
Gender:F
Credentials:MABC, BT, QIDP, DDP
Other - Prefix:MRS
Other - First Name:LINDSEY
Other - Middle Name:MICHELLE
Other - Last Name:RADCLIFFE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MABC, BT, QIDP, DDP
Mailing Address - Street 1:219 QUAIL CRK
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MO
Mailing Address - Zip Code:63755-3810
Mailing Address - Country:US
Mailing Address - Phone:618-697-1132
Mailing Address - Fax:
Practice Address - Street 1:219 QUAIL CRK
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MO
Practice Address - Zip Code:63755-3810
Practice Address - Country:US
Practice Address - Phone:618-697-1132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-31
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst