Individual provider Active NPI

Taylor Stephens

  • Behavior Analyst
  • Shawnee, KS
National Provider Identifier
1407586746
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
RBT-22-220006 Issued in KS
Practice address
6910 Silverheel St
Shawnee, KS 66226-5316
Phone
(913) 405-4550
Fax
(913) 273-2452
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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

State licenses

LicenseStateTypeSpecialty
RBT-22-220006KSMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Bluehawk Creative Learning Center, Inc. Behavior Analyst CurrentSince Jun 23, 2024 Accepting new patients

Locations

6910 Silverheel St
Shawnee, KS 66226
Phone (913) 405-4550

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X RBT-22-220006 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

6910 Silverheel St
Shawnee, KS 66226-5316

Mailing address

6910 Silverheel St
Shawnee, KS 66226-5316
Phone (913) 405-4550

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2024.

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1407586746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 SILVERHEEL ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662265316",
            "telephone_number": "913-405-4550",
            "fax_number": "913-273-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 SILVERHEEL ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662265316",
            "telephone_number": "913-405-4550",
            "fax_number": "913-273-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": "RBT-22-220006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.