Stephanie Householder, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-41174 Issued in KY

Practice address

4044 Fort Campbell Blvd Ste 604
Hopkinsville, KY 42240

Phone

(877) 315-8080

Fax

(877) 345-4009

NPI assigned

Sep 21, 2018

Last updated

May 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Positive Reinforcement Behavior Therapy, Inc

  • Behavior Analyst
  • Manchester, NH
  • NPI 1801425699
  NPD Authorized official
• All About ABA NJ LLC

  • Community/Behavioral Health Agency
  • Howell, NJ
  • NPI 1194397349

  Behavior Analyst

  NPD (past)
• Positive Reinforcement ABA Therapy Inc.

  • Community/Behavioral Health Agency
  • Manchester, NH
  • NPI 1073959128

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1548744980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 S. WILLOW STREET, SUITE 266",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035751",
            "telephone_number": "877-315-8080",
            "fax_number": "877-345-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4044 FORT CAMPBELL BLVD STE 604",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "42240",
            "telephone_number": "877-315-8080",
            "fax_number": "877-345-4009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1081 Thornberry Dr",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424311672",
            "country_code": "US",
            "telephone_number": "270-854-1480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "373 S Willow St Ste 266",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031035751",
            "country_code": "US",
            "telephone_number": "877-315-8080 x87731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSEHOLDER",
        "first_name": "STEPHANIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "1-20-41174",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hopkinsville-Christian County Ambulance Service (Hopkinsville Christian County Emergency Ambulance)
• Sara E Horn, APRN
• Brooks A Horsley, MD
• Horsley, PSC (Southern Regional Open MRI)
• Janee Marshai Horton
• Corwin D Howard, PHARMD
• Madison J Howard
• Tamara Howard
• William Thomas Howard, PA-C
• Mark Hrudicka

• Behavior Analyst in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.