Individual provider Active NPI

Stephanie Zerrillo-Greco, M.ED., BCBA

  • Behavior Analyst
  • Ocean Isle Beach, NC
National Provider Identifier
1487366050
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-36259 Issued in OH
Practice address
7263 Schooners CT SW Unit A1
Ocean Isle Beach, NC 28469-5612
Phone
(419) 351-5055
NPI assigned
Dec 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-19-36259 OH Primary

Addresses

Primary practice location

7263 Schooners CT SW Unit A1
Ocean Isle Beach, NC 28469-5612

Mailing address

7263 Schooners CT SW Unit A1
Ocean Isle Beach, NC 28469-5612
Phone (419) 351-5055

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
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Autism Solutions, PLLC Behavior Analyst PastSince Dec 1, 2022 Accepting new patients

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": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1487366050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7263 SCHOONERS CT SW UNIT A1",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284695612",
            "telephone_number": "419-351-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7263 SCHOONERS CT SW UNIT A1",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284695612",
            "telephone_number": "419-351-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERRILLO-GRECO",
        "first_name": "STEPHANIE",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-19-36259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Isle Beach, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.