Active NPI
Stefanie Neuberger, M.A.
- Behavior Analyst
- Richmond, CA
National Provider Identifier
1518381003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-22706
- Practice address
- 109 Commodore Dr
Richmond, CA 94804-4535 - Phone
- (740) 815-1340
- NPI assigned
- Feb 5, 2014
- Last updated
- Jul 10, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-22706 | CA | Primary |
Addresses
Primary practice location
109 Commodore Dr
Richmond, CA 94804-4535
Mailing address
109 Commodore Dr
Richmond, CA 94804-4535
Phone (740) 815-1340
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 Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468108800000",
"number": "1518381003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 COMMODORE DR",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948044535",
"telephone_number": "740-815-1340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 COMMODORE DR",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948044535",
"telephone_number": "740-815-1340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUBERGER",
"first_name": "STEFANIE",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-05",
"last_updated": "2016-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-16-22706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.