Active NPI
Stefanie Tam, BCBA
- Behavior Analyst
- Burbank, CA
National Provider Identifier
1174897995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-08-4801
- Practice address
- 2550 N Hollywood Way
#304
Burbank, CA 91505-1055 - Phone
- (866) 278-5011
- NPI assigned
- Feb 24, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 1-08-4801 | Primary |
Addresses
Primary practice location
2550 N Hollywood Way
#304
Burbank, CA 91505-1055
Mailing address
2550 N Hollywood Way
#304
Burbank, CA 91505-1055
Phone (866) 278-5011
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1174897995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 N HOLLYWOOD WAY",
"address_2": "#304",
"city": "BURBANK",
"state": "CA",
"postal_code": "915051055",
"telephone_number": "866-278-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 N HOLLYWOOD WAY",
"address_2": "#304",
"city": "BURBANK",
"state": "CA",
"postal_code": "915051055",
"telephone_number": "866-278-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAM",
"first_name": "STEFANIE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-24",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-08-4801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.