Active NPI
Stefanie Jean Hunter-Hammonds, MA, BCBA, KY LBA
- Behavior Analyst
- Edgewood, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 925 Dudley Pike
Edgewood, KY 41017-8120 - Phone
- (859) 360-3006
- NPI assigned
- Mar 18, 2021
- Last updated
- Mar 18, 2021
- 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 | NU | Primary |
Addresses
Primary practice location
925 Dudley Pike
Edgewood, KY 41017-8120
Mailing address
12600 Hill Country Blvd Ste R-100
Bee Cave, TX 78738-6748
Phone (855) 444-5664
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Behavioral Health Group, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
5522 Taylor Mill Rd
Taylor Mill, KY 41015
Phone (606) 491-2855
5522 Taylor Mill Rd
Ste 10
Taylor Mill, KY 41015
12600 Hill Country Blvd
Ste R-100
Bee Cave, TX 78738
Phone (512) 767-6026
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cultivate Behavioral Health and Education
- Behavior Analyst
- Edgewood, KY
- NPI 1952840860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1548846876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12600 HILL COUNTRY BLVD STE R-100",
"city": "BEE CAVE",
"state": "TX",
"postal_code": "787386748",
"telephone_number": "855-444-5664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 DUDLEY PIKE",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410178120",
"telephone_number": "859-360-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER-HAMMONDS",
"first_name": "STEFANIE",
"middle_name": "JEAN",
"credential": "MA, BCBA, KY LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-18",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.