Active NPI
Stephanie Maldonado
- Behavior Analyst
- Dearborn, MI
National Provider Identifier
1194177048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-30270
- Practice address
- 19853 Outer Dr
Dearborn, MI 48124-2066 - Phone
- (313) 633-0967
- NPI assigned
- Jul 4, 2016
- 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 | 1-18-30270 | Primary |
Addresses
Primary practice location
19853 Outer Dr
Dearborn, MI 48124-2066
Mailing address
8736 Indigo LN
Ypsilanti, MI 48197-1065
Phone (787) 955-8110
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 |
|---|---|---|---|
| My Ba Therapy Center Inc. | Behavior Analyst | Past | Accepting new patients |
| Aponte & Klein Inc. | 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.
-
- Behavior Analyst
- Orlando, FL
- NPI 1982066205
-
- Behavior Analyst
- Kissimmee, FL
- NPI 1326588781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1194177048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8736 INDIGO LN",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971065",
"telephone_number": "787-955-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19853 OUTER DR",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242066",
"telephone_number": "313-633-0967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-04",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-18-30270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.