Individual provider Active NPI

Dina Stipetic, BCBA

  • Behavior Analyst
  • Gibsonia, PA
National Provider Identifier
1518321116
Registry record updated Apr 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-21745 Issued in NU
Practice address
3938 Shepard Rd
Gibsonia, PA 15044-9407
Phone
(412) 726-4420
NPI assigned
Apr 9, 2016
Last updated
Apr 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-16-21745 NU Primary

Addresses

Primary practice location

3938 Shepard Rd
Gibsonia, PA 15044-9407

Mailing address

3938 Shepard Rd
Gibsonia, PA 15044-9407
Phone (412) 726-4420

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

NPI Registry JSON

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460160000000",
    "number": "1518321116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 SHEPARD RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449407",
            "telephone_number": "412-726-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3938 SHEPARD RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449407",
            "telephone_number": "412-726-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIPETIC",
        "first_name": "DINA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-09",
        "last_updated": "2016-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-16-21745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2016; 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.