Individual provider Active NPI

Stephanie Rebecca Bell, BCBA, M.ED.

  • Behavior Analyst
  • Medford, OR
National Provider Identifier
1013667351
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
ABA-B-10220939 Issued in OR
Practice address
1375 Bonita Ave
Medford, OR 97504-5505
Phone
(157) 128-6685
NPI assigned
Mar 28, 2022
Last updated
Mar 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1-21-55723OtherBEHAVIOR ANALYST CERTIFICATION BOARD
ABA-B-10220939OtherORBEHAVIOR ANALYST STATE LICENSE

Other names 1

  • Stephanie Havener Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
ABA-B-10220939ORMDBehavioral 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.

Verify at the official NPI Registry.