Stepfanie Nicole Mitchell, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

6560 NW Chugwater Cir
Port Saint Lucie, FL 34983-2305

Phone

(561) 214-1518

NPI assigned

Mar 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Stepfanie Nicole Claudio 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.

• Jupiter Applied Behavior Analysis LLC

  • Behavior Technician
  • Port Saint Lucie, FL
  • NPI 1740712629
  NPD (past)

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1427550607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 NW CHUGWATER CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349832305",
            "telephone_number": "561-214-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 NW CHUGWATER CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349832305",
            "telephone_number": "561-214-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "STEPFANIE",
        "middle_name": "NICOLE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPFANIE",
            "last_name": "CLAUDIO",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Gail Minnis, NP-C
• Elad Mirman, DMD
• Parsa Seyed Mirmehdi, MD
• Marissa Miscavage
• Blanca Erika Mitchell
• Stephan Wayne Mitchell, ED.S., NCSP
• Mjrsks LLC
• Mobility Solutions USA, Inc.
• Bahia N Mohd
• Marie Raina Moise

• Behavior Analyst in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.