Healthcare Provider Details

I. General information

NPI: 1285570861
Provider Name (Legal Business Name): ROOTED BEHAVIOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 TALL OAKS DR
HOCKESSIN DE
19707-2041
US

IV. Provider business mailing address

22 TALL OAKS DR
HOCKESSIN DE
19707-2041
US

V. Phone/Fax

Practice location:
  • Phone: 302-270-0107
  • Fax:
Mailing address:
  • Phone: 302-270-0107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: JESSICA STUHLTRAGER
Title or Position: OWNER/FOUNDER
Credential: BCBA
Phone: 302-270-0107