Individual provider Active NPI

Katherine Wamback Stewart, BCBA

  • Behavior Analyst
  • Fontana, CA
National Provider Identifier
1457883233
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-28577
Practice address
6949 Dew Point Way
Fontana, CA 92336-1865
Phone
(909) 317-8499
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-16-7454 CA
Behavior Analyst 103K00000X 1-17-28577 Primary

Addresses

Primary practice location

6949 Dew Point Way
Fontana, CA 92336-1865

Mailing address

6949 Dew Point Way
Fontana, CA 92336-1865
Phone (909) 317-8499

Other practice location 1

2080 N Tustin Ave
Santa Ana, CA 92705-7875
Phone (855) 581-0100

Other practice location 2

311 Bingham St
Scottsboro, AL 35768-2223
Phone (256) 797-9920

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ilearn Behavioral Strategies, Inc. Behavior Analyst CurrentSince Dec 6, 2022 Accepting new patients

Locations

12046 Jacaranda Ave
Ste D
Hesperia, CA 92345

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.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1457883233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6949 DEW POINT WAY",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361865",
            "telephone_number": "909-317-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6949 DEW POINT WAY",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361865",
            "telephone_number": "909-317-8499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 N Tustin Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927057875",
            "country_code": "US",
            "telephone_number": "855-581-0100",
            "fax_number": "949-709-0311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 Bingham St",
            "address_purpose": "LOCATION",
            "city": "Scottsboro",
            "state": "AL",
            "postal_code": "357682223",
            "country_code": "US",
            "telephone_number": "256-797-9920",
            "fax_number": "423-805-9889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KATHERINE",
        "middle_name": "WAMBACK",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CA",
            "license": "0-16-7454",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-28577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.