Active NPI
Sheryl Stafford, BCBA
- Behavior Analyst
- Fredericksburg, TX
National Provider Identifier
1144977547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 704 Shumard LN
Fredericksburg, TX 78624-2762 - Phone
- (830) 992-8083
- NPI assigned
- Mar 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | TX | Primary |
Addresses
Primary practice location
704 Shumard LN
Fredericksburg, TX 78624-2762
Mailing address
PO Box 2365
Fredericksburg, TX 78624-1921
Phone (830) 992-8083
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wildflower Behavior Services, LLC | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Fredericksburg, TX
- NPI 1376288928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1144977547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2365",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786241921",
"telephone_number": "830-992-8083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 SHUMARD LN",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786242762",
"telephone_number": "830-992-8083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "SHERYL",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-05",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, TX
- Stephen Lynn Smith, D.O.
- SNH Longhorn Tenant LLC (Heritage Place)
- South Texas Physician Group, PLLC
- Jasmine Spivey
- Kristi Ann Stafford, MD
- Jay S Stauffer, MD
- STB Medical Consultants, P.a.
- William Robert Stehling, D.D.S.
- Kay Ellen Steinbring, RD, LD, CDCES
- Christopher Keith Stewart, LICENSED PROFESSIONA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.