Stephanie Danielle Doby

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-49733 Issued in CA

Practice address

801 Jefferson St Ste 4&35&6
Fairfield, CA 94533-5557

Phone

(855) 223-7123

NPI assigned

Jun 12, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Center for Learning and Autism Support Services, Inc.

  • Early Intervention Provider Agency
  • San Mateo, CA
  • NPI 1417139288

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1992298194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16782 VON KARMAN AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926069928",
            "telephone_number": "855-223-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 JEFFERSON ST STE 4&35&6",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335557",
            "telephone_number": "855-223-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBY",
        "first_name": "STEPHANIE",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-49733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caesar Reza Djavaherian, M.D.
• George Joseph Dlouhy Jr., DDS MS
• Jaleel Dmeiri, DPT
• Xuan Duy DO, XD
• Barbara Doak
• Doc'S Medical Mart
• Sasha Capri R Doctor
• Pramoda Madubhashani Dodangoda Arachchige, HIS
• Doing Better Counseling, Marriage & Family Therapy, Prof.Corp
• Sarah Dolar, H.I.S.

• All providers in Fairfield, CA
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.