Kyle Stinsman, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-17-7802 Issued in NJ

Practice address

1 Lupton Ave
Woodbury, NJ 08096-5901

Phone

(856) 332-4698

NPI assigned

Mar 23, 2020

Last updated

Mar 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1548897481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 MADISON RD",
            "city": "MANTUA",
            "state": "NJ",
            "postal_code": "080511267",
            "telephone_number": "856-906-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LUPTON AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080965901",
            "telephone_number": "856-332-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINSMAN",
        "first_name": "KYLE",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NJ",
            "license": "0-17-7802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanford R. Stark, CRNA, PHD
• Stephanie R Staskin-Ortiz, NBCHWC
• Thomas J Steffe, M.D.
• Amanda Lynn Stein, LCSW
• Jay A. Stiefel, D.O.
• Tonette Stubbs, LSW
• Suburban Health Clinic of Woodbury
• Maureen Sullivan, P.A.-C
• Sunrise Hovcare L.P. (Sunrise at Woodbury Lake)
• Surgical & Critical Care Associates

• Assistant Behavior Analyst in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Assistant Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.