Individual provider Active NPI

Stephenie De la Nuez, BCBA

  • Behavior Analyst
  • Homestead, FL
National Provider Identifier
1093300154
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
49 NW 17TH St
Homestead, FL 33030-3210
Phone
(786) 349-4700
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB643846 FL
Assistant Behavior Analyst 106E00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

49 NW 17TH St
Homestead, FL 33030-3210

Mailing address

725 NE 14TH St
Homestead, FL 33030-4891
Phone (305) 799-1798

Other practice location 1

2615 Fairways Dr
Homestead, FL 33035-1173
Phone (800) 920-1927

Other practice location 2

7452 SW 117th Ave
Kendall, FL 33183-3806
Phone (305) 521-9556

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

State licenses

LicenseStateTypeSpecialty
BACB643846FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1093300154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 NE 14TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304891",
            "telephone_number": "305-799-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 NW 17TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303210",
            "telephone_number": "786-349-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2615 Fairways Dr",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330351173",
            "country_code": "US",
            "telephone_number": "800-920-1927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7452 SW 117th Ave",
            "address_purpose": "LOCATION",
            "city": "Kendall",
            "state": "FL",
            "postal_code": "331833806",
            "country_code": "US",
            "telephone_number": "305-521-9556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA NUEZ",
        "first_name": "STEPHENIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB643846",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.