Provider Demographics
NPI:1184059685
Name:SHIPLEY, JESSI KAYTLIN-FRENCH (MED, BCBA, TXLBA)
Entity type:Individual
Prefix:
First Name:JESSI
Middle Name:KAYTLIN-FRENCH
Last Name:SHIPLEY
Suffix:
Gender:F
Credentials:MED, BCBA, TXLBA
Other - Prefix:
Other - First Name:JESSI
Other - Middle Name:
Other - Last Name:FRENCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, BCBA, LBA
Mailing Address - Street 1:1316 PISTACHIO DR
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-5597
Mailing Address - Country:US
Mailing Address - Phone:903-819-8383
Mailing Address - Fax:
Practice Address - Street 1:1801 ROYAL LN # 300
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75229-3179
Practice Address - Country:US
Practice Address - Phone:888-754-0398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-13-14574103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst