Active NPI
Stephanie Marie Longo, BCBA, LMSW, ITDS
- Behavior Analyst
- Boca Raton, FL
National Provider Identifier
1417101585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-45233
- Practice address
- 7000 W Palmetto Park Rd Ste 200
Boca Raton, FL 33433-3430 - Phone
- (917) 204-5852
- NPI assigned
- Nov 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | FL | ||
| Behavior Analyst | 103K00000X | 1-20-45233 | FL | Primary |
Addresses
Primary practice location
7000 W Palmetto Park Rd Ste 200
Boca Raton, FL 33433-3430
Mailing address
542 Amherst St
Nashua, NH 03063-1016
Other practice location 1
18567 Anchor Dr
Boca Raton, FL 33498-6301
Phone (917) 204-5852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022921500 | Medicaid | FL |
Other names 1
- Ms. Stephanie Marie Fusco
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1417101585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "542 AMHERST ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030631016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 W PALMETTO PARK RD STE 200",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333430",
"telephone_number": "917-204-5852"
}
],
"practiceLocations": [
{
"address_1": "18567 Anchor Dr",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334986301",
"country_code": "US",
"telephone_number": "917-204-5852",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONGO",
"first_name": "STEPHANIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "BCBA, LMSW, ITDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-15",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-20-45233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022921500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "FUSCO",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "LMSW, BCBA, ITDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.