Individual provider Active NPI

Stephen Shubert, M.ED., LBA, BCBA,

  • Behavior Analyst
  • Scottsdale, AZ
National Provider Identifier
1316598428
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BEH-000482 Issued in AZ
Practice address
4848 E Cactus Rd Ste 940
Scottsdale, AZ 85254-4164
Phone
(480) 433-0050
NPI assigned
Sep 20, 2019
Last updated
Sep 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BEH-000482 AZ Primary

Addresses

Primary practice location

4848 E Cactus Rd Ste 940
Scottsdale, AZ 85254-4164

Mailing address

1016 N 1St Dr Unit 347B
Phoenix, AZ 85003-1462
Phone (845) 325-6775

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 Education

State licenses

LicenseStateTypeSpecialty
BEH-000482AZMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
All About ABA Az LLC Behavior Analyst Past Accepting new patients
Theraplay4Kidz, LLC Behavior Analyst PastSince Sep 1, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1316598428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 N 1ST DR UNIT 347B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031462",
            "telephone_number": "845-325-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 E CACTUS RD STE 940",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544164",
            "telephone_number": "480-433-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUBERT",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "M.ED., LBA, BCBA,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-000482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.