Stephanie Hathcock, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-11-8458 Issued in TN

Practice address

905 Dogwood Dr
Fayetteville, TN 37334-2261

Phone

(423) 368-2933

NPI assigned

Dec 2, 2013

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

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 and National Provider Directory roles.

• Spectrum Therapeutic Learning Center, LLC

  • Behavior Analyst
  • Fayetteville, TN
  • NPI 1093339814
  NPD Authorized official

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1679904650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 DOGWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342261",
            "telephone_number": "423-368-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 DOGWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373342261",
            "telephone_number": "423-368-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHCOCK",
        "first_name": "STEPHANIE",
        "credential": "M.A., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1-11-8458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denning Harder, PT
• Ramona Hardin, COTA/L
• Emma Grace Hardman
• Devin Elisabeth Harris
• Danyeil Harvey, FNP-BC
• Jada Loanne Helums, R.N.
• Conner J Hensley, PT, DPT
• HH Health System - Lincoln Inc
• HH Health System - Lincoln Inc
• HH Health System - Lincoln Inc

• Behavior Analyst in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.