Active NPI
Stephanie Pena
- Behavior Analyst
- Lakewood Ranch, FL
National Provider Identifier
1750711552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-58340
- Practice address
- 6976 Professional Pkwy
Lakewood Ranch, FL 34240-8414 - Phone
- (941) 308-4641
- Fax
- (305) 597-3863
- NPI assigned
- Nov 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-22-58340 | FL | Primary |
Addresses
Primary practice location
6976 Professional Pkwy
Lakewood Ranch, FL 34240-8414
Mailing address
6976 Professional Pkwy
Lakewood Ranch, FL 34240-8414
Phone (941) 308-4641
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A New Beginning Behavioral Services, Inc | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Doral, FL
- NPI 1457648438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1750711552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6976 PROFESSIONAL PKWY",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342408414",
"telephone_number": "941-308-4641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6976 PROFESSIONAL PKWY",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342408414",
"telephone_number": "941-308-4641",
"fax_number": "305-597-3863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-15",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-22-58340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood Ranch, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.