Individual provider Active NPI

Amber Lynn Stabenau, MA, BCBA

  • Behavior Analyst
  • Imlay City, MI
National Provider Identifier
1578068821
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2022000275 Issued in MO
Practice address
2061 S Almont Ave
Imlay City, MI 48444-9732
Phone
(810) 510-0026
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133002326 VA
Behavior Analyst 103K00000X 7401001221 MI
Behavior Analyst 103K00000X 2022000275 MO Primary

Addresses

Primary practice location

2061 S Almont Ave
Imlay City, MI 48444-9732

Mailing address

2538 Lisa Dr
Columbiaville, MI 48421-8910
Phone (810) 358-4808

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

State licenses

LicenseStateTypeSpecialty
7401001221MIMDBehavioral Analyst
2022000275MOMDBehavioral Analyst
0133002326VAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1578068821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 LISA DR",
            "city": "COLUMBIAVILLE",
            "state": "MI",
            "postal_code": "484218910",
            "telephone_number": "810-358-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 S ALMONT AVE",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484449732",
            "telephone_number": "810-510-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STABENAU",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133002326",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001221",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2022000275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imlay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.