Steffanie Diana Carroll

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

835 7TH St Ste 3
Clermont, FL 34711-2190

Phone

(352) 321-9100

Fax

(352) 404-8915

NPI assigned

May 16, 2022

Last updated

Dec 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Foundations ABA Therapy, LLC

  • Behavior Analyst
  • Clermont, FL
  • NPI 1649839432
  NPD

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1396482923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 7TH ST STE 3",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112190",
            "telephone_number": "352-321-9100",
            "fax_number": "352-404-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 7TH ST STE 3",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112190",
            "telephone_number": "352-321-9100",
            "fax_number": "352-404-8915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17335 Pagonia Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116011",
            "country_code": "US",
            "telephone_number": "407-614-4299",
            "fax_number": "352-432-0913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "STEFFANIE",
        "middle_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro J Carrasquillo
• Raul Tadeo Carrillo-Bislick, M.D.
• Jose L Carrion, RPH
• Betty Carrol, LMHC
• Kirsten Carroll
• Kennedy Carter
• Sherman Carter
• Stephanie Carter
• April Cartwright
• Vincent A. Caruso, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.