MEDICARE: STEPHANIE WHITLEY M.ED., BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-12-10013

General Provider Information

NPI Number	:	1801156708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE WHITLEY M.ED., BCBA

Provider Business Mailing Address
First Line	:	19019 VENTURA BLVD
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91356-3253
Country	:	US
Telephone Number	:	818-345-2345
Fax Number	:	866-587-2383

Provider Business Practice Location Address
First Line	:	9390 RESEARCH BLVD
Second Line	:	STE 230
City	:	AUSTIN
State	:	TX
Zip	:	78759-6585
Country	:	US
Telephone Number	:	512-330-9520
Fax Number	:	512-330-9505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2012
Last Update Date	:	05/24/2012

Similar Medicare Providers

1255294005 — SERGIO FLORES
Practice Location Address:

9390 RESEARCH BLVD STE 100
AUSTIN, TX
78759-6585

Practice Phone: 512-330-9520
Practice Fax:

1962364745 — LYNE PHAM
Practice Location Address:

9390 RESEARCH BLVD STE 100
AUSTIN, TX
78759-6585

Practice Phone: 512-330-9520
Practice Fax:

1407110125 — JULIE WINN GREER BCBA
Practice Location Address:

9390 RESEARCH BLVD
AUSTIN, TX
78759-6585

Practice Phone: 512-330-9520
Practice Fax:

1982021200 — CHRISTINE VONTHADEN BCBA
Practice Location Address:

9390 RESEARCH BLVD , SUITE 100
AUSTIN, TX
78759-6585

Practice Phone: 512-330-9520
Practice Fax: 512-330-9505

1740691658 — TARA TAYLOR BCBA
Practice Location Address:

9390 RESEARCH BLVD
AUSTIN, TX
78759-6585

Practice Phone: 512-330-9520
Practice Fax: 512-330-9505

1801203500 — MS. KACI SMITH BCBA
Practice Location Address:

9390 RESEARCH BLVD , SUITE 100
AUSTIN, TX
78759-6585

Practice Phone: 512-330-9520
Practice Fax: 512-330-9505

Directions to “ STEPHANIE WHITLEY M.ED., BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.