Stephanie Coca-Penna, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-65230 Issued in FL

Practice address

1160 S Semoran Blvd Ste Ab
Orlando, FL 32807-1461

Phone

(407) 537-7522

NPI assigned

Jan 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1790259265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOUGLAS RD STE 230",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344108",
            "telephone_number": "844-244-1818",
            "fax_number": "888-512-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 S SEMORAN BLVD STE AB",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071461",
            "telephone_number": "407-537-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCA-PENNA",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-65230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106164400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Benner Coberly, MA
• Laritssa Palacio Cobian, MD
• Ellen Coble, PSYD
• Johana Cobo
• Korey Coburn
• Michelle Coca, PA-C
• Crystal Dawn Cochran, ATC
• D Heathereen Cochran, NP
• Denise B. Cochran, MSN- ARNP
• Isaiah Antoine Cochran, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.