Individual provider Active NPI

Stephanie Angelique Brown, BCABA

  • Behavior Analyst
  • Largo, FL
National Provider Identifier
1437772456
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-62782 Issued in FL
Practice address
1101 Belcher Rd S Ste B
Largo, FL 33771-3356
Phone
(727) 742-7872
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-115497 FL
Assistant Behavior Analyst 106E00000X 0-22-13617 FL
Behavior Analyst 103K00000X 1-22-62782 FL Primary

Addresses

Primary practice location

1101 Belcher Rd S Ste B
Largo, FL 33771-3356

Mailing address

11454 127TH Ave
Largo, FL 33778-1913
Phone (727) 742-7872

Other practice location 1

12651 Walsingham Rd Ste A
Largo, FL 33774-3627
Phone (727) 742-7872

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-20-115497FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Behavior Consulting, LLC Behavior Analyst CurrentSince Dec 1, 2024 Accepting new patients
Exceptional Behavior Consulting, LLC Behavior Analyst CurrentSince Jun 1, 2020 Accepting new patients

Locations

12651 Walsingham Rd
Ste A
Largo, FL 33774
Phone (727) 641-8010

1101 Belcher Rd S
Ste B
Largo, FL 33771
Phone (727) 742-7872

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1437772456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11454 127TH AVE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337781913",
            "telephone_number": "727-742-7872",
            "fax_number": "877-271-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BELCHER RD S STE B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713356",
            "telephone_number": "727-742-7872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12651 Walsingham Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337743627",
            "country_code": "US",
            "telephone_number": "727-742-7872",
            "fax_number": "877-271-9338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "STEPHANIE",
        "middle_name": "ANGELIQUE",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-115497",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-22-13617",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-62782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.