Stephanie Mulligan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5881 NW 151St St Ste 111
Miami Lakes, FL 33014-2455

Phone

(305) 440-8920

NPI assigned

Jun 27, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Creating Balance Inc

  • Behavior Analyst
  • Orlando, FL
  • NPI 1922672351
  NPD Authorized official
• Ekilibrium, Inc.

  • Mental Health Counselor
  • Miami Lakes, FL
  • NPI 1114352382
  NPD
• Metamorphosis Therapy LLC

  • Behavior Technician
  • Winter Garden, FL
  • NPI 1477008407
  NPD
• Metamorphosis Therapy, LLC

  • Speech-Language Pathologist
  • Winter Garden, FL
  • NPI 1942519103
  NPD
• Ekilibrium, Inc.

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1225608557

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336669779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST STE 111",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142455",
            "telephone_number": "305-440-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 NW 151ST ST STE 111",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142455",
            "telephone_number": "305-440-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Moulton, LMHC
• Ms Alliance Health Group Corp
• Ms Medical Enterprises Inc.
• MSG Dental LLC
• Sibdas Mukherjee Mukhopadhyay, M.D.
• Bianca Muniz
• Elyam Munoz
• Alys Muro
• Musictoheal Corp
• My Doral Research LLC

• Behavior Technician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.