Stephanie Costanzo

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-46512 Issued in NU

Practice address

503 Covil Ave Ste 102
Wilmington, NC 28403-2683

Phone

(910) 810-0665

NPI assigned

Dec 1, 2010

Last updated

Oct 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Stephanie Neubauer Former name

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": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1902108681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 EMERALD AVE",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "284295691",
            "telephone_number": "910-810-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 COVIL AVE STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032683",
            "telephone_number": "910-810-0665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16717 US Highway 17 Ste 210",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "NC",
            "postal_code": "284433239",
            "country_code": "US",
            "telephone_number": "910-599-2230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3904 Oleander Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284036735",
            "country_code": "US",
            "telephone_number": "910-313-3232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7074 Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346098658",
            "country_code": "US",
            "telephone_number": "352-540-9335 x4081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTANZO",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-20-46512",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "NEUBAUER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa C Cortese, MD
• Robert Michael Cortina, MD
• Cathy Cosentino, LMFTA, LCASA
• Billie Forehand Cosgrove, M.D.
• Christopher C Cosgrove, MD
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• Kelly L Coston
• Pauline Coston, LCSWA

• Behavior Analyst in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.