Stephen L. Ware Jr.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-66093 Issued in CA

Practice address

3500 Loop Rd Ste C2
McDonough, GA 30253-3141

Phone

(909) 755-5220

NPI assigned

Jun 7, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Key Essentials to Behavior Management, Corp

  • Behavior Analyst
  • Rancho Cucamonga, CA
  • NPI 1639680481
  NPD (past)

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1508433699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N MAIN ST UNIT 341",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928783431",
            "telephone_number": "909-210-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 LOOP RD STE C2",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533141",
            "telephone_number": "909-755-5220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 N Main St Unit 341",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928783431",
            "country_code": "US",
            "telephone_number": "909-210-0701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARE",
        "first_name": "STEPHEN",
        "middle_name": "L.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-23-66093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Lilla Walters
• Sophia Walters, LICENSED OPTICIAN
• Patricia A Waltower, RN MSHS
• Kibibi Wanzu
• Rebecca Ward
• Warm Hearts Rides LLC
• Clara Nicole Warren, MA, LPC, NCC
• Rayonna Warren, MEDICAL ASSISTANT
• Neshaye Warrick
• Briana Washington

• Behavior Analyst in McDonough, GA
• Providers in McDonough, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.