Stephanie Dykes

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

1733149 Issued in FL

Practice address

1887 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5530

Phone

(772) 463-0444

Fax

(772) 219-1339

NPI assigned

May 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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 Basics, Incorporated

  • Specialist
  • Port St Lucie, FL
  • NPI 1497913214
  NPD
• Behavior Basics, Incorporated

  • Behavior Analyst
  • Port St Lucie, FL
  • NPI 1538406616
  NPD

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1801322425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2367 ANGEL RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096457",
            "telephone_number": "772-463-0444",
            "fax_number": "772-219-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525530",
            "telephone_number": "772-463-0444",
            "fax_number": "772-219-1339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 W Hibiscus Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012622",
            "country_code": "US",
            "telephone_number": "321-345-4232",
            "fax_number": "321-765-6434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYKES",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "1733149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT",
            "identifier": "1733149",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020808500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Duval
• Janet M Duval
• Trevor Anthony Duval
• Karen Dyer
• Vanessa Dyer, RDN, LD
• Easley Counseling & Consulting Group Inc.
• East Coast Anesthesia Associates PA
• East Coast Medical Center PA
• East Florida Carenow Urgent Care, LLC
• Easter Seals Florida, Inc.

• Behavior Technician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.