MRS. BUSAYO MARY ENIKANOSELU STELBEN
NPI 1629548011
Behavior Analyst in Jacksonville, FL

Q: What is Busayo Stelben's NPI number?

The NPI number for Busayo Stelben is 1629548011. It was assigned to this individual provider in the NPPES registry on November 28, 2018.

Q: What is Busayo Stelben's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Busayo Stelben was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 28, 2018

12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258(855) 832-6727 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2024, Aug 30, 2023, Nov 28, 2018 (3 updates tracked since 2018).

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About Mrs. Busayo Mary Enikanoselu Stelben NPPES

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

MRS. BUSAYO MARY ENIKANOSELU STELBEN (NPI 1629548011) is an individual behavior analyst provider in Jacksonville, Florida, licensed in Florida (1-23-64284) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1629548011

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMRS. BUSAYO MARY ENIKANOSELU STELBEN

Location Address12724 GRAN BAY PKWY W STE 410Jacksonville, FL 32258-9486

Mailing Address7108 S Kanner HwyStuart, FL 34997-7462 · (855) 832-6727

Phone(855) 832-6727

Sole ProprietorNo

Enumeration DateNovember 28, 2018

Last NPPES UpdateSeptember 12, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2024

✔ NPI 1629548011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in FL · 1-23-64284

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.

12724 GRAN BAY PKWY W STE 410, Jacksonville, FL 32258

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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.

CARL STEVENS

Behavior Technician