Individual provider Active NPI

Jessica Elizabeth Sloven Stuhltrager, BCBA

  • Behavior Analyst
  • Wilmington, DE
National Provider Identifier
1154822195
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-56783
Practice address
4023 Kennett Pike # 988
Wilmington, DE 19807-2018
Phone
(484) 577-9928
NPI assigned
Feb 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-21-56783 Primary

Addresses

Primary practice location

4023 Kennett Pike # 988
Wilmington, DE 19807-2018

Mailing address

22 Tall Oaks Dr
Hockessin, DE 19707-2041

Other practice location 1

76 W Jimmie Leeds Rd Ste 105
Galloway, NJ 08205-9416
Phone (609) 218-8664

Other practice location 2

1167 W Baltimore Pike # 258
Media, PA 19063-5127
Phone (484) 577-9928

Other names 1

  • Jessica Elizabeth Sloven Former name

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

OrganizationSpecialtyStatusNew patients
Rooted Behavior LLC Behavior Analyst Current Accepting new patients
Unfurling Littles LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1154822195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 TALL OAKS DR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197072041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 KENNETT PIKE # 988",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198072018",
            "telephone_number": "484-577-9928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 W Jimmie Leeds Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Galloway",
            "state": "NJ",
            "postal_code": "082059416",
            "country_code": "US",
            "telephone_number": "609-218-8664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1167 W Baltimore Pike # 258",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190635127",
            "country_code": "US",
            "telephone_number": "484-577-9928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUHLTRAGER",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH SLOVEN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-21-56783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SLOVEN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.