Healthcare Provider Details

I. General information

NPI: 1205385697
Provider Name (Legal Business Name): STEPHANIE C. ONUIGBO BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2016
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17121 NE 6TH AVE
NORTH MIAMI BEACH FL
33162-2008
US

IV. Provider business mailing address

17121 NE 6TH AVE
NORTH MIAMI BEACH FL
33162-4607
US

V. Phone/Fax

Practice location:
  • Phone: 786-955-6224
  • Fax:
Mailing address:
  • Phone: 786-955-6224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2840587
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: