Heather Christine Stutzman, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-53737 Issued in IN

Practice address

3781 Bayley Dr Ste B
Lafayette, IN 47905-8657

Phone

(765) 201-4767

Fax

(317) 520-8200

NPI assigned

Aug 22, 2022

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Hopebridge, LLC

  • Child & Adolescent Psychiatry Physician
  • Kokomo, IN
  • NPI 1891820668

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1033838370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3781 BAYLEY DR STE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058657",
            "telephone_number": "765-201-4767",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTZMAN",
        "first_name": "HEATHER",
        "middle_name": "CHRISTINE",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-21-53737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA - BOARD CERTIFIED BEHAVIOR ANALYST",
            "identifier": "1-21-53737",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Stubbs, D.D.S.
• Katherine Stuck
• Kathryn Louise Stucker, MD
• Jodi A Stull, CST
• Ariel Celess Sturgill, MD
• Sarai Jocabed Suarez
• Phillip I. Subeck, LCSW
• Oriana Suh, D.M.D.
• Rebecca Sullivan, LCSW
• Tyler William Sullivan, LMHCA

• Behavior Analyst in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.