Autumn Stocking, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-21-12518

Practice address

2475 W Chicago St
Rapid City, SD 57702-2467

Phone

(605) 206-5004

Fax

(605) 646-4840

NPI assigned

Apr 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Black Hills Behavior, LLC

  • Behavior Analyst
  • Rapid City, SD
  • NPI 1619442522
  NPD (past)

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1023638855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 W CHICAGO ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022467",
            "telephone_number": "605-206-5004",
            "fax_number": "605-646-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 W CHICAGO ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022467",
            "telephone_number": "605-206-5004",
            "fax_number": "605-646-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKING",
        "first_name": "AUTUMN",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "10707",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "0-21-12518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Stiles, RN
• April Stilwell
• Kyla A Stilwell, CNP
• Teresa Stine, PTA
• Todd Stock, RPT
• Darcey J Stockland, MD
• Cynthia Ann Stocks, CNP
• Steven C Stocks, MD
• Erica Stoddard, MD
• Jona M Stoebner, DC

• Assistant Behavior Analyst in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Assistant Behavior Analyst in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.