Stephanie Marie Delong, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BACB552694 Issued in MN

Practice address

20890 Kenbridge CT
Lakeville, MN 55044-8041

Phone

(612) 355-8865

NPI assigned

Sep 8, 2021

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 Science

State licenses

Practice roles

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.

• Holland Center

  • Developmentally Disabled Services Day Training Agency
  • Minnetonka, MN
  • NPI 1467641555
  NPD (past)
• Action Behavior Centers Therapy LLC

  • Behavior Analyst
  • Austin, TX
  • NPI 1699475509
  NPD (past)

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1730858200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HILLTOP LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231440",
            "telephone_number": "763-567-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20890 KENBRIDGE CT",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448041",
            "telephone_number": "612-355-8865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Centre Point Dr.",
            "address_2": "suite 7",
            "address_purpose": "LOCATION",
            "city": "Mendota Heights",
            "state": "MN",
            "postal_code": "55120",
            "country_code": "US",
            "telephone_number": "952-215-3763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELONG",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "BACB552694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Charles Dean, MD
• Karen Rae Debaun, LICSW
• Daniel Philip Dehart
• Andrew Delathower, PHARMD
• Rhonda Lee Dellwo, RPH
• Dentalign, PA
• Katherine Sue Deregnier, LPCC
• Hannah Deutschman, DC
• Alexis Rae Diamond
• Lilli Ann Dickenson

• Behavior Analyst in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.