Provider Demographics
NPI:1669819801
Name:SCHELLENBERG-SKINAS, LIBBY R (BCBA)
Entity Type:Individual
Prefix:
First Name:LIBBY
Middle Name:R
Last Name:SCHELLENBERG-SKINAS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1499 W 120TH AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2719
Mailing Address - Country:US
Mailing Address - Phone:720-602-4220
Mailing Address - Fax:
Practice Address - Street 1:1499 W 120TH AVE STE 110
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-2719
Practice Address - Country:US
Practice Address - Phone:720-602-4220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-29
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO103TS0200X
CA1-09-5204103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool