Michael Stephens, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-12689 Issued in CA

Practice address

7600 N Ingram Ave Ste 105
Fresno, CA 93711-5824

Phone

(916) 729-3098

Fax

(916) 729-3006

NPI assigned

Jan 14, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1164844924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 TUPELO DR",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956211741",
            "telephone_number": "916-729-3098",
            "fax_number": "916-729-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 N INGRAM AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115824",
            "telephone_number": "916-729-3098",
            "fax_number": "916-729-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "MICHAEL",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-12-12689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Almanza Stephens, EMT
• Candace Stephens
• Darcy Lynn Stephens, LPCC, LICDC, CADCII
• Gregory Eugene Stephens, D.D.S.
• Jennifer Stephens, PA
• Paige Stephens
• Brimnesha Lasha NE'Shelle Stepney
• Stepup Book LLC
• Randall Gordon Stern, MD
• Steven M. Wisener, DDS - F

• Behavior Analyst in Fresno, CA
• Providers in Fresno, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.