Active NPI
Kimberly Stotler, BCBA
- Behavior Analyst
- Enterprise, AL
National Provider Identifier
1851800965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1247 Rucker Blvd Ste 3
Enterprise, AL 36330-3630 - Phone
- (334) 347-5003
- Fax
- (334) 694-5191
- NPI assigned
- Sep 21, 2017
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1247 Rucker Blvd Ste 3
Enterprise, AL 36330-3630
Mailing address
1247 Rucker Blvd Ste 3
Enterprise, AL 36330-3630
Phone (334) 347-5003
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1851800965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1247 RUCKER BLVD STE 3",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363303630",
"telephone_number": "334-347-5003",
"fax_number": "334-694-5191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1247 RUCKER BLVD STE 3",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363303630",
"telephone_number": "334-347-5003",
"fax_number": "334-694-5191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOTLER",
"first_name": "KIMBERLY",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enterprise, AL
- State of Alabama Department of Public Health
- Joseph Carter Steinwinder Sr., R.PH.
- Stephen R Brandt MD Group
- George Robert Storey Jr., LPC
- Jamie Marie Stotler, BCABA
- Julie Strickland
- Kimberlee Marie Styron, CD(DONA)
- Success Counseling Therapy & Consulting, LLC
- Maria Aurora Canlas Sucgang, MD
- Abbie Lauryn Sullivan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.