Provider Demographics
NPI:1326509100
Name:REINEKE, SHELBY LYNN (M ED, BCBA)
Entity type:Individual
Prefix:MS
First Name:SHELBY
Middle Name:LYNN
Last Name:REINEKE
Suffix:
Gender:F
Credentials:M ED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3117 BARRINGTON PL
Mailing Address - Street 2:
Mailing Address - City:PLOVER
Mailing Address - State:WI
Mailing Address - Zip Code:54467-3206
Mailing Address - Country:US
Mailing Address - Phone:414-301-2433
Mailing Address - Fax:
Practice Address - Street 1:3117 BARRINGTON PL
Practice Address - Street 2:
Practice Address - City:PLOVER
Practice Address - State:WI
Practice Address - Zip Code:54467-3206
Practice Address - Country:US
Practice Address - Phone:414-301-2433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI286-140103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst