Individual provider Active NPI

Anthony Charles Stover, M.A., BCBA

  • Behavior Analyst
  • St Petersburg, FL
National Provider Identifier
1174768055
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-04-1699 Issued in FL
Practice address
701 77TH Ave N Ste 56546
St Petersburg, FL 33702-5299
Phone
(727) 403-6171
Fax
(727) 346-5579
NPI assigned
Dec 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-04-1699 FL Primary

Addresses

Primary practice location

701 77TH Ave N Ste 56546
St Petersburg, FL 33702-5299

Mailing address

701 77TH Ave N Ste 56546
St Petersburg, FL 33702-5299
Phone (727) 403-6171

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)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Evolution, Inc. Behavior Analyst CurrentSince Apr 1, 2021 Accepting new patients
Behavior Services of Florida, Inc. Behavior Analyst Current Accepting new patients

Locations

701 77th Ave N
Ste 56546
St Petersburg, FL 33702
Phone (727) 403-6171

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": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1174768055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 77TH AVE N STE 56546",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025299",
            "telephone_number": "727-403-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 77TH AVE N STE 56546",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025299",
            "telephone_number": "727-403-6171",
            "fax_number": "727-346-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVER",
        "first_name": "ANTHONY",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "M.A., BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-08",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-04-1699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.