Active NPI
Stephanie Angelique Brown, BCABA
- Behavior Analyst
- Largo, FL
National Provider Identifier
1437772456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-62782
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-115497 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Behavior Consulting, LLC | Behavior Analyst | Current | Accepting new patients |
| Exceptional Behavior Consulting, LLC | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- Largo, FL
- NPI 1730996638
-
- Behavior Analyst
- Largo, FL
- NPI 1851732796
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.