Daniel Jacob Stahl, BSA

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

145 East Edgewood Drive
Lakeland, FL 33803

Phone

(863) 619-2809

NPI assigned

Jan 26, 2017

Last updated

Jan 26, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Applied Behavioral Learning Experiences, Inc

  • Community/Behavioral Health Agency
  • Lakeland, FL
  • NPI 1760627905
  NPD (past)
• Applied Behavioral Learning Experiences, Inc.

  • Behavior Analyst
  • Lakeland, FL
  • NPI 1831549674
  NPD (past)

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1316484413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5417 RIVER ROCK RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338090962",
            "telephone_number": "321-266-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 EAST EDGEWOOD DRIVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33803",
            "telephone_number": "863-619-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "DANIEL",
        "middle_name": "JACOB",
        "credential": "BSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Lukes Regional Health Care PLC
• Donna M St. Rock, MA
• Ludmyla J. Staddon, ARNP
• Sally Stader, PH.D.
• Stages Health & Wellness, LLC
• Heather Stambaugh
• Heather R Stamper, PHARMD
• Mark Raymond Stampfl, MD
• Stand-Up MRI of Lakeland, LLC
• Kyandra Standifer

• Behavior Technician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.