Active NPI
Stephenie De la Nuez, BCBA
- Behavior Analyst
- Homestead, FL
National Provider Identifier
1093300154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| BACB643846 | FL | MD | Behavior 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.