Provider Demographics
NPI:1629377965
Name:HAPPE, SHAWN E (MS BCBA)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:E
Last Name:HAPPE
Suffix:
Gender:M
Credentials:MS BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4615 GARDENDALE ST
Mailing Address - Street 2:APARTMENT 506
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-4200
Mailing Address - Country:US
Mailing Address - Phone:901-896-5252
Mailing Address - Fax:
Practice Address - Street 1:4502 CENTERVIEW
Practice Address - Street 2:SUITE 215
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1318
Practice Address - Country:US
Practice Address - Phone:210-733-7440
Practice Address - Fax:210-733-7570
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-05-2258103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst