Organization Active NPI

Stout Advancement ABA Services LLC

  • Behavior Analyst
  • Gulf Breeze, FL
National Provider Identifier
1720734338
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
STOUT ADVANCEMENT ABA SERVICES LLC
Practice address
3171 Clemson Rd
Gulf Breeze, FL 32563-2707
Phone
(256) 343-2010
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Steven Stout, PHD, BCBA-D
Title
Director
Phone
(256) 343-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3171 Clemson Rd
Gulf Breeze, FL 32563-2707

Mailing address

3171 Clemson Rd
Gulf Breeze, FL 32563-2707
Phone (256) 343-2010

Other identifiers 1

IdentifierTypeStateIssuer
1-13-2694OtherBEHAVIOR ANALYST CERTIFICATION BOARD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1720734338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 CLEMSON RD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632707",
            "telephone_number": "256-343-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 CLEMSON RD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632707",
            "telephone_number": "256-343-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOUT ADVANCEMENT ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "256-343-2010",
        "authorized_official_credential": "PHD, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-13-2694",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.