Active NPI
Christine Stiehl, MA, BCBA, LBA
- Behavior Analyst
- Stockton, CA
National Provider Identifier
1235450156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-31472
- Practice address
- 3105 Bonnie LN
Stockton, CA 95204-3647 - Phone
- (858) 735-3843
- Fax
- (785) 371-1263
- NPI assigned
- Jun 15, 2010
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-31472 | CA | |
| Behavior Analyst | 103K00000X | 1-18-31472 | CO | Primary |
| Behavior Analyst | 103K00000X | 264 | KS |
Addresses
Primary practice location
3105 Bonnie LN
Stockton, CA 95204-3647
Mailing address
3105 Bonnie LN
Stockton, CA 95204-3647
Phone (858) 735-3843
Other practice location 1
11392 Volans St
San Diego, CA 92126-1345
Phone (858) 735-3843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201288760A | Medicaid | KS |
Other names 1
- Christie Stiehl
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 264 | KS | MD | Nursing Home Administrator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stiehl Behavioral Consulting, LLC | Behavior Analyst | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Behavior Analyst
- Stockton, CA
- NPI 1861016792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1235450156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 BONNIE LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952043647",
"telephone_number": "858-735-3843",
"fax_number": "785-371-1263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 BONNIE LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952043647",
"telephone_number": "858-735-3843",
"fax_number": "785-371-1263"
}
],
"practiceLocations": [
{
"address_1": "11392 Volans St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921261345",
"country_code": "US",
"telephone_number": "858-735-3843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STIEHL",
"first_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "MA, BCBA, LBA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2010-06-15",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-18-31472",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-18-31472",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "KS",
"license": "264",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201288760A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTIE",
"last_name": "STIEHL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.