Individual provider Active NPI

Christine Stiehl, MA, BCBA, LBA

  • Behavior Analyst
  • Stockton, CA
National Provider Identifier
1235450156
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-31472 Issued in CO
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

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-31472 CA
Behavior Analyst 103K00000X 1-18-31472 CO Primary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
201288760AMedicaidKS

Other names 1

  • Christie Stiehl Other name

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

LicenseStateTypeSpecialty
264KSMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Stiehl Behavioral Consulting, LLC Behavior Analyst CurrentSince Dec 1, 2022 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.

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.

Verify at the official NPI Registry.