Stewart Black, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-71224 Issued in IA

Practice address

502 Market St
Harlan, IA 51537-1411

Phone

(402) 713-1100

NPI assigned

Nov 20, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Beyond Behavior ABA

  • Community/Behavioral Health Agency
  • Cedar Rapids, IA
  • NPI 1952036493
  NPD (past)

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1124843487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 4TH AVE SE STE 300",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011844",
            "fax_number": "866-496-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MARKET ST",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515371411",
            "telephone_number": "402-713-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "STEWART",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IA",
            "license": "1-24-71224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://lifeconnections.kasa-solutions.com/index.php",
            "affiliation": "N",
            "endpointDescription": "EHR System - Kasa Practice Solutions",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "215 4th Ave SE",
            "city": "Cedar Rapids",
            "state": "IA",
            "country_code": "US",
            "postal_code": "524011844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aruba Vision LLC
• Aruba Vision LLC
• Lindsey Baughman
• Laine Beach
• Robert Adam Bendorf, D.O.
• Melanie Boese
• Shelli Renee Brand, DPT
• Timothy E. Brelje, MD
• Jennifer Bruck, ARNP
• Tina Louise Bryant, DPT

• All providers in Harlan, IA
• Behavior Analyst in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.