Provider Demographics
NPI:1174139273
Name:SHIBLEY, DANIELLE VINSON (BCBA)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:VINSON
Last Name:SHIBLEY
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 1:1625 LARIMER ST APT 2002
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1534
Mailing Address - Country:US
Mailing Address - Phone:256-763-8381
Mailing Address - Fax:
Practice Address - Street 1:4940 WARD RD
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-2124
Practice Address - Country:US
Practice Address - Phone:928-587-9189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-23
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1-24-71058103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst