Individual provider Active NPI

Stephanie Elisabeth Daly, BCBA, LABA

  • Behavior Analyst
  • Plymouth, MA
National Provider Identifier
1699182741
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1726 Issued in MA
Practice address
345 Court St Ste 302C
Plymouth, MA 02360-4329
Phone
(781) 285-6377
Fax
(508) 283-3730
NPI assigned
Jul 21, 2014
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1726 MA Primary

Addresses

Primary practice location

345 Court St Ste 302C
Plymouth, MA 02360-4329

Mailing address

345 Court St Ste 302C
Plymouth, MA 02360-4329
Phone (781) 285-6377

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

State licenses

LicenseStateTypeSpecialty
1726MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Logic LLC Behavior Analyst CurrentSince Oct 1, 2020 Accepting new patients
Stonebridge Behavioral Services Behavior Analyst Past Accepting new patients
South East Center for Swallowing & Communication Past Accepting new patients

Locations

345 Court St
Ste 302C
Plymouth, MA 02360
Phone (508) 283-3730

345 Court St
Ste LL10
Plymouth, MA 02360
Phone (781) 285-6377

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1699182741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 COURT ST STE 302C",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604329",
            "telephone_number": "781-285-6377",
            "fax_number": "508-283-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 COURT ST STE 302C",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604329",
            "telephone_number": "781-285-6377",
            "fax_number": "508-283-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "STEPHANIE",
        "middle_name": "ELISABETH",
        "credential": "BCBA, LABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.