Provider Demographics
NPI:1548785223
Name:ARIAS, STEPHANIE NICHOLE (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:NICHOLE
Last Name:ARIAS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MS
Other - First Name:STEPHANIE
Other - Middle Name:NICHOLE
Other - Last Name:SITKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:2171 SW 89TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-8224
Mailing Address - Country:US
Mailing Address - Phone:786-365-4448
Mailing Address - Fax:
Practice Address - Street 1:13195 SW 134TH ST STE 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4585
Practice Address - Country:US
Practice Address - Phone:786-206-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-03
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-18-51730106S00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician