Stephanie M Dukes, BCBA

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

5355 Soundview Ave
Saint Augustine, FL 32080-7238

Phone

(260) 402-8057

NPI assigned

Oct 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Stephanie M Fryback Former name

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 and National Provider Directory roles.

• Nocal Behavioral Services LLC

  • Behavior Analyst
  • Ponte Vedra, FL
  • NPI 1184084782
  NPD (past)

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1326476797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 SOUNDVIEW AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320807238",
            "telephone_number": "260-402-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 SOUNDVIEW AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320807238",
            "telephone_number": "260-402-8057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6867 Southpoint Dr N",
            "address_2": "101",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322168043",
            "country_code": "US",
            "telephone_number": "904-619-6071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUKES",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "FRYBACK",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• DT Behavior Services
• Franklin Saye Duarto, PMHNP
• Duc Nguyen Podiatry LLC
• Dudley a Baringer MD PA
• Karen Elaine Duffy, REGISTERED DIETITIAN
• Jennifer C Duncan, PHARM.D., BCACP
• Deborah Dungan, LMHC
• Michelle Jeannette Dunn, LCSW
• Robert E Dupree Jr, MD
• Valerie Anne Duquette, LCSW

• Developmental Therapist in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.