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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

STEPHANIE CARNICOM BCBA, COBA, MED
NPI 1235700063
Behavior Analyst in Maumee, OH

Active since July 02, 2021
1900 INDIAN WOOD CIR STE 100, MAUMEE, OH 43537(419) 830-0078(317) 520-8200 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2026, Jul 10, 2026, Jul 2, 2021 (3 updates tracked since 2021).

About Stephanie Carnicom Bcba, Coba, Med NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE CARNICOM BCBA, COBA, MED (NPI 1235700063) is an individual behavior analyst provider in Maumee, Ohio, licensed in Ohio (1-26-90815) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1235700063
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameSTEPHANIE CARNICOMCredential: BCBA, COBA, MED
Location Address1900 INDIAN WOOD CIR STE 100Maumee, OH 43537-4039
Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200
Phone(419) 830-0078
Fax(317) 520-8200
Sole ProprietorNo
Enumeration DateJuly 2, 2021
Last NPPES UpdateJuly 23, 20263 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1235700063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Licenses✔ Licensed in OH · 1-26-90815✔ Licensed in OH · COBA.02021
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
1900 INDIAN WOOD CIR STE 100, Maumee, OH 43537
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY L SHARP
Behavior Technician
1900 INDIAN WOOD CIR STE 100
MAUMEE, OH 43537
Lucas County (419) 830-0078
SALEEN ROBERTSON RBT
Behavior Technician
1900 INDIAN WOOD CIR STE 100
MAUMEE, OH 43537
Lucas County (419) 830-0078
SAMANTHA DEANDA RBT
Behavior Technician
1900 INDIAN WOOD CIR STE 100
MAUMEE, OH 43537
Lucas County (419) 830-0078
CHERYL J KINNERSLEY LPC
Counselor (Mental Health)
1900 INDIAN WOOD CIR STE 100
MAUMEE, OH 43537
Lucas County (419) 897-9624
SH'DYMOND PIERCE
Behavior Technician
1900 INDIAN WOOD CIR STE 100
MAUMEE, OH 43537
Lucas County (419) 830-0078
CYNTHIA KEBLESH RBT
Behavior Technician
1900 INDIAN WOOD CIR STE 100
MAUMEE, OH 43537
Lucas County (419) 830-0078
ERIN PARKS RBT
Behavior Technician
1900 INDIAN WOOD CIR STE 100
MAUMEE, OH 43537
Lucas County (419) 830-0078
GABRIELLA GORRIZ RBT
Behavior Technician
1900 INDIAN WOOD CIR STE 100
MAUMEE, OH 43537
Lucas County (419) 830-0078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Carnicom's NPI number?

The NPI number for Stephanie Carnicom is 1235700063. It was assigned to this individual provider in the NPPES registry on July 2, 2021.

Where is Stephanie Carnicom located?

Stephanie Carnicom practices at 1900 Indian Wood Cir Ste 100, Maumee, OH 43537. The listed phone number is (419) 830-0078.

What is Stephanie Carnicom's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Carnicom was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.