Individual provider Active NPI

Sorah Stein, M.A., BCBA, CSE

  • Behavior Analyst
  • South Bend, IN
National Provider Identifier
1780860312
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-08-4169
Practice address
751 Donmoyer Ave
South Bend, IN 46614-1935
Phone
(574) 234-9282
Fax
(574) 234-9282
NPI assigned
Jan 14, 2008
Last updated
Nov 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-08-4169 Primary
Health Educator 174H00000X

Addresses

Primary practice location

751 Donmoyer Ave
South Bend, IN 46614-1935

Mailing address

751 Donmoyer Ave
South Bend, IN 46614-1935
Phone (574) 234-9282

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Partnership for Behavior Change Behavior Analyst Current Accepting new patients

Locations

2314 Miami St
South Bend, IN 46614
Phone (574) 204-2475

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1780860312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 DONMOYER AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466141935",
            "telephone_number": "574-234-9282",
            "fax_number": "574-234-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 DONMOYER AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466141935",
            "telephone_number": "574-234-9282",
            "fax_number": "574-234-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "SORAH",
        "credential": "M.A., BCBA, CSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-08-4169",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.