STEPHANIE ANN ETIE (NPI# 1780915124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780915124 |
| Entity Type | Individual |
| Full Name | STEPHANIE ANN ETIE |
| Credential | M. ED., BCBA, LBA |
| Practice Address |
5924 Rickerhill Ln Austin TX 78739 |
| Mailing Address |
Po Box 90851 Austin TX 78709-0851 |
| Practice Telephone | 5124234467 |
| Practice Fax Number | 5128921422 |
| Mailing Telephone | 5124234467 |
| Mailing Fax Number | 5128921422 |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | 350 | TX | Behavioral Health & Social Service Providers |
| Y | 103K00000X | Behavioral Analyst | 1-06-3148 | TX | Behavioral Health & Social Service Providers |
| Street Address |
5924 RICKERHILL LN |
| City | AUSTIN |
| State | TX |
| Zip Code | 78739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871002188 | Cole Stutz | Physical Therapist | 5401 La Crosse Ave., Building C, Suite 101, Austin, TN 78739 | 2017-09-29 |
| 1346796992 | Amanda Sylvie | Dietitian, Registered | 6604 Nusser Ln, Austin, TX 78739 | 2016-09-01 |
| 1609259431 | Marjan Aryannejad | Pharmacist | 10805 Tollesboro Cove, Austin, TX 78739 | 2015-06-29 |
| 1780071563 | Lauren Vaughn | Counselor | 11228 South Bay Lane, Austin, TX 78739 | 2015-04-20 |
| 1649552860 | Purvi Patel | Pharmacist | 12212 Tuberose Ter, Austin, TX 78739 | 2011-09-14 |
| 1972724730 | Qiao Xu | Acupuncturist | 11236 South Bay Lane, Austin, TX 78739 | 2007-05-01 |
| 1740382084 | Ferril Chris Smith | Internal Medicine | 4104 Reynosa Dr, Austin, TX 78739 | 2006-09-05 |
| 1295235992 | Sally Elizabeth Stroud | Registered Nurse | 6405 Back Bay Ln, Austin, TX 78739-1402 | 2018-02-19 |
| 1982262317 | Adrienne Lee Wiggins | Registered Nurse | 6407 Old Harbor Ln, Austin, TX 78739-1405 | 2019-05-31 |
| 1932450020 | Garey Chayra | Dentist | 6352 Tasajillo Trl, Austin, TX 78739-1416 | 2012-09-28 |
| Find all providers in zip 78739 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325522 | Sridivya Pattisam | Behavioral Analyst | 1215 W Slaughter Ln Apt 534, Austin, TX 78748-6709 | 2020-10-26 |
| 1942817200 | Songbird Health Tx LLC | Behavioral Analyst | 1401 Lavaca St, Austin, TX 78701-1634 | 2020-09-29 |
| 1962020099 | Mayra Cristina Barreda | Behavioral Analyst | 2000 Cedar Bend Dr Apt 1134, Austin, TX 78758-5351 | 2020-07-06 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1326677212 | Tx Mc Sprout 1 LLC | Behavioral Analyst | 5323 Levander Loop, Austin, TX 78702-5146 | 2020-04-03 |
| 1922632405 | Little Light Aba, LLC | Behavioral Analyst | 6001 W Parmer Ln Ste 370 #3064, Austin, TX 78727 | 2020-02-24 |
| 1417580648 | Ashley K Bloodworth | Behavioral Analyst | 2100 Kramer Ln Ste 300, Austin, TX 78758-4094 | 2020-02-17 |
| 1376173013 | Haley Erin Van Klompenburg | Behavioral Analyst | 5700 S Mo Pac Expy Ste 310, Austin, TX 78749-1457 | 2020-01-22 |
| 1386282630 | Kourtney Souza | Behavioral Analyst | 1500 S Lamar Blvd Apt 2015, Austin, TX 78704-2944 | 2019-12-18 |
| 1447891098 | Vision Aba | Behavioral Analyst | 6205 Adel Cv, Austin, TX 78749-1656 | 2019-10-04 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.