Stacey Osmon, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-04-1846 Issued in FL

Practice address

2780 Verandah Vue Way
Lakeland, FL 33812-6392

Phone

(863) 619-2809

NPI assigned

Aug 18, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Applied Behavioral Learning Experiences, Inc

  • Community/Behavioral Health Agency
  • Lakeland, FL
  • NPI 1760627905
  NPD Authorized official
• Applied Behavioral Learning Experiences, Inc.

  • Behavior Analyst
  • Lakeland, FL
  • NPI 1831549674
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1003048539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2112",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338062112",
            "telephone_number": "863-619-2809",
            "fax_number": "863-644-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 VERANDAH VUE WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338126392",
            "telephone_number": "863-619-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMON",
        "first_name": "STACEY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-04-1846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687700196",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687700198",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Ortiz, COTA
• Kelly Ortiz, AU.D.
• Marilyn Ortiz
• Haley Lanora Osemeke, LCSW
• Duaa Osman
• Alexandra Osorio, MD
• Ospine, LLC
• Osprey Emergency Physicians LLC
• Kate Elizabeth Ostneberg, LMT
• Yalili Otermin Rodriguez

• Behavior Analyst in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.