=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861016792
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STIEHL BEHAVIORAL CONSULTING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/06/2020
-----------------------------------------------------
Last Update Date | 04/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3105 BONNIE LN
-----------------------------------------------------
City | STOCKTON
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95204-3647
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-380-5432
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3105 BONNIE LN
-----------------------------------------------------
City | STOCKTON
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95204-3647
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-380-5432
-----------------------------------------------------
Fax | 785-371-1263
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, DIRECTOR
-----------------------------------------------------
Name | CHRISTINE STIEHL
-----------------------------------------------------
Credential | BCBA, LBA
-----------------------------------------------------
Telephone | 780-380-5432
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------