Individual provider Active NPI

Barbara J Stivenson, ASSIST BEHAV ANALYST

  • Assistant Behavior Analyst
  • Pennellville, NY
National Provider Identifier
1720683139
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
71-P132338-01 Issued in NY
Practice address
5 Franklin Dr
Pennellville, NY 13132-3125
Phone
(315) 806-1737
NPI assigned
Dec 2, 2020
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 71-P132338-01 NY Primary

Addresses

Primary practice location

5 Franklin Dr
Pennellville, NY 13132-3125

Mailing address

5 Franklin Dr
Pennellville, NY 13132-3125
Phone (315) 806-1737

Other names 1

  • Miss Barbara J Williams Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Pennellville Direct

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
71-P132338-01NYMDAssistant Behavior Analyst

Interoperability endpoints

  • Direct secure messaging: barbara.stivenson.p1@direct.liberty-resources.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1720683139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN DR",
            "city": "PENNELLVILLE",
            "state": "NY",
            "postal_code": "131323125",
            "telephone_number": "315-806-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN DR",
            "city": "PENNELLVILLE",
            "state": "NY",
            "postal_code": "131323125",
            "telephone_number": "315-806-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIVENSON",
        "first_name": "BARBARA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "ASSIST BEHAV ANALYST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NY",
            "license": "71-P132338-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Pennellville",
            "affiliation": "N",
            "endpointDescription": "Home Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pennellville",
            "address_1": "5 Franklin Dr",
            "city": "Pennellville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "131323125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "WILLIAMS",
            "middle_name": "J",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pennellville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.