Active NPI
Stephanie Rebecca Bell, BCBA, M.ED.
- Behavior Analyst
- Medford, OR
National Provider Identifier
1013667351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- ABA-B-10220939
- Practice address
- 1375 Bonita Ave
Medford, OR 97504-5505 - Phone
- (157) 128-6685
- NPI assigned
- Mar 28, 2022
- Last updated
- Mar 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | ABA-B-10220939 | OR | Primary |
Addresses
Primary practice location
1375 Bonita Ave
Medford, OR 97504-5505
Mailing address
1375 Bonita Ave
Medford, OR 97504-5505
Phone (571) 286-6859
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-21-55723 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD | |
| ABA-B-10220939 | Other | OR | BEHAVIOR ANALYST STATE LICENSE |
Other names 1
- Stephanie Havener
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.bellbehavior.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ABA-B-10220939 | OR | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1013667351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 BONITA AVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975045505",
"telephone_number": "571-286-6859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 BONITA AVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975045505",
"telephone_number": "157-128-6685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "STEPHANIE",
"middle_name": "REBECCA",
"credential": "BCBA, M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-28",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OR",
"license": "ABA-B-10220939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "1-21-55723",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST STATE LICENSE",
"identifier": "ABA-B-10220939",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.bellbehavior.com",
"affiliation": "N",
"endpointDescription": "Services are provided in the clients home or community",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Address",
"address_1": "1375 Bonita Ave",
"city": "Medford",
"state": "OR",
"country_code": "US",
"postal_code": "975045505",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "HAVENER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.