Active NPI
Andrea Stayton, MS, BCBA
- Behavior Analyst
- St Augustine, FL
National Provider Identifier
1205071917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-07-3966
- Practice address
- 175 Cumberland Park Dr Ste 100
Saint Augustine, FL 32095-8955 - Phone
- (904) 201-9129
- NPI assigned
- Dec 9, 2008
- Last updated
- Aug 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-07-3966 | NU | Primary |
Addresses
Primary practice location
175 Cumberland Park Dr Ste 100
Saint Augustine, FL 32095-8955
Mailing address
23 Sol CT
St Augustine, FL 32095-8493
Phone (904) 307-3318
Other practice location 1
23 Sol Ct
St Augustine, FL 32095-8493
Phone (904) 307-3318
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Connection, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
175 Cumberland Park Dr
Ste 100
St Augustine, FL 32095
Phone (904) 201-9129
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- St Augustine, FL
- NPI 1174029201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1205071917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 SOL CT",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320958493",
"telephone_number": "904-307-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 CUMBERLAND PARK DR STE 100",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320958955",
"telephone_number": "904-201-9129"
}
],
"practiceLocations": [
{
"address_1": "23 Sol Ct",
"address_purpose": "LOCATION",
"city": "St Augustine",
"state": "FL",
"postal_code": "320958493",
"country_code": "US",
"telephone_number": "904-307-3318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAYTON",
"first_name": "ANDREA",
"credential": "MS, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-09",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": "1-07-3966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.