Stephanie Emmons, BCBA, M.ED.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-11584 Issued in TX

Practice address

3000 Illinois Ave
Killeen, TX 76543-5371

Phone

(254) 833-3440

NPI assigned

Jun 28, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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.

• Trevor'S Place LLC

  • Behavior Analyst
  • Killeen, TX
  • NPI 1518320035
  NPD Authorized official

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1043574619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 KYLEIGH DR",
            "city": "SALADO",
            "state": "TX",
            "postal_code": "765716532",
            "telephone_number": "254-833-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ILLINOIS AVE",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435371",
            "telephone_number": "254-833-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMONS",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "BCBA, M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-12-11584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elysium TMS of Killeen LLC
• Embrace Home Attendant Services
• Judy Embry, PH.D.
• Emergency Associates of Central Texas PA
• Keasha Emilson, LVN
• Empower Wellness Clinic, PLLC
• Breanne Encalade
• Brittani Leann Encalade
• Danikia Encalade
• Alyassa Ann Encinias, RBT

• All providers in Killeen, TX
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.