Individual provider Active NPI

Stephanie Nicole Foster, BCBA

  • Behavior Analyst
  • Carrollton, TX
National Provider Identifier
1083251284
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-38499 Issued in TX
Practice address
2155 Marsh LN Ste 132
Carrollton, TX 75006-5080
Phone
(214) 738-2545
NPI assigned
Dec 6, 2019
Last updated
Dec 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-19-38499 TX Primary

Addresses

Primary practice location

2155 Marsh LN Ste 132
Carrollton, TX 75006-5080

Mailing address

6704 Alderbrook Dr
Denton, TX 76210-0017
Phone (214) 738-2545

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 9723063189 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

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1083251284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 ALDERBROOK DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100017",
            "telephone_number": "214-738-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 MARSH LN STE 132",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065080",
            "telephone_number": "214-738-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-19-38499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9723063189",
            "affiliation": "N",
            "endpointDescription": "Secure phone/messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2155 Marsh Ln Ste 132",
            "city": "Carrollton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750065080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.