Shelley Stettinius, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0-16-7022 Issued in FL

Practice address

145 East Edgewood Dr
Lakeland, FL 33803

Phone

(863) 619-2809

NPI assigned

Jul 21, 2016

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

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.

• Applied Behavioral Learning Experiences, Inc

  • Community/Behavioral Health Agency
  • Lakeland, FL
  • NPI 1760627905
  NPD (past)
• Applied Behavioral Learning Experiences, Inc.

  • Behavior Analyst
  • Lakeland, FL
  • NPI 1831549674
  NPD (past)

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1780037002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 LAKE DAISY DRIVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33884",
            "telephone_number": "863-289-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 EAST EDGEWOOD DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33803",
            "telephone_number": "863-619-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETTINIUS",
        "first_name": "SHELLEY",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0-16-7022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Stephens, PHARMD
• Tiffany Marie Stephenson, APRN
• Steps to Freedom Counseling Services, LLC.
• Cornelius F Sterling, OTR
• Joseph Sterling, MD
• Steve Blicblum M D P a
• Melody Stevens, PHARMD
• Monica Anne Stevens
• Carla Stewart, LMHC
• Christian Hunnicutt Stewart, AU.D.

• Behavior Analyst in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.