Provider Demographics
NPI:1922501253
Name:KAUMP, SHELBY LAYNNE (BCBA)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:LAYNNE
Last Name:KAUMP
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:SHELBY
Other - Middle Name:
Other - Last Name:AMMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 THE GRN
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3618
Mailing Address - Country:US
Mailing Address - Phone:302-497-4478
Mailing Address - Fax:
Practice Address - Street 1:30157 FIDDLERS GRN
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-4715
Practice Address - Country:US
Practice Address - Phone:248-910-3397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-13
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst