Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Stephanie Prouty , BCaBA

Behavior Analyst β€’ Manassas, VA

Active NPI 1356900799 Individual Practitioner Female Practitioner
Practice location in NPPES

9720 Capital Ct Ste 404
Manassas, VA 201102052

Call 8559101148 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9720 Capital Ct Ste 404

Manassas, VA 201102052

Telephone 8559101148
Organization at the Same NPPES Address or Phone
Kings Medicals Llc Facility NPI 1528768579

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Chesterfield, VA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Manassas and Virginia

102 active clinicians are listed under Behavior Analyst with a practice address in Manassas, VA (2,776 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Manassas

0% of these 102 clinicians have the CMS telehealth indicator.

0% of these 102 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-02-08
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES VA 0134000379

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0134000379 (VA)

Secondary Practice Locations

10300 Courthouse Rd

Chesterfield, VA 23832

Phone: 8559101148

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Chizimako Eze , NP

Nurse Practitioner - Family

NPI 1801062229

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location February 08, 2022

Registered at 9720 CAPITAL CT STE 404, MANASSAS, VA 201102052 (Tel: 8559101148)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2022

Behavior Technician

πŸ“
Updated Business Mailing Address June 22, 2021

Registered at 1157 FARRCROFT WAY, VIRGINIA BEACH, VA 234556874 (Tel: 7574048675)

πŸ‘€
Provider Name / Credentials Updated June 22, 2021

Recorded as STEPHANIE PROUTY, BCABA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2021

Behavior Analyst (license number reported to NPPES: VA 0134000379)

βœ…
NPI Profile Active June 10, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 10, 2019

Registered at 709 QUINCE PL, CHESAPEAKE, VA 233200769 (Tel: 7572779874)

πŸ“
Business Mailing Address (Initial Record) June 10, 2019

Registered at 709 QUINCE PL, CHESAPEAKE, VA 233200769 (Tel: 7572779874)

πŸ‘€
Provider Name / Credentials (Initial Record) June 10, 2019

Recorded as STEPHANIE PROUTY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2019

Behavior Technician

🟒
Initial NPI Registration & Enumeration June 10, 2019

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1356900799
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2019
Last Update: February 08, 2022
Sole Proprietor: Yes

Mailing Address

1157 Farrcroft Way

Virginia Beach, VA 234556874

Phone: 7574048675

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.