Individual provider Active NPI

Cheryl Diane Stickel, LSW, BCBA

  • Behavior Analyst
  • Washington, NJ
National Provider Identifier
1285952945
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
44SL05205200 Issued in NJ
Practice address
2 W Washington Ave
Suite 212
Washington, NJ 07882-1917
Phone
(908) 884-3207
Fax
(908) 835-8300
NPI assigned
May 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SL05205200 NJ
Behavior Analyst 103K00000X 44SL05205200 NJ Primary

Addresses

Primary practice location

2 W Washington Ave
Suite 212
Washington, NJ 07882-1917

Mailing address

2 W Washington Ave
Suite 212
Washington, NJ 07882-1917
Phone (908) 884-3207

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

State licenses

LicenseStateTypeSpecialty
44SL05205200NJMDBehavioral Analyst

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1285952945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W WASHINGTON AVE",
            "address_2": "SUITE 212",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078821917",
            "telephone_number": "908-884-3207",
            "fax_number": "908-835-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W WASHINGTON AVE",
            "address_2": "SUITE 212",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078821917",
            "telephone_number": "908-884-3207",
            "fax_number": "908-835-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKEL",
        "first_name": "CHERYL",
        "middle_name": "DIANE",
        "credential": "LSW, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL05205200",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "44SL05205200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.