Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174968655 Individual Practitioner Female Practitioner

Stephanie Lauren Bibeau Petrenko , MA, BCBA

Behavior Analyst • Montebello, CA

Professional Overview & Biography Verified Profile Summary

Stephanie Petrenko, MA, BCBA is a registered healthcare professional specializing in Behavior Analyst in Montebello, CA. Practice services are available at 400 N MONTEBELLO BLVD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 N Montebello Blvd Ste 100

Montebello, CA 906404269

Telephone 1323837040

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Montebello, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
7 Specialists

Practicing in Montebello, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-21
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-13-13306

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location February 24, 2023

Registered at 400 N MONTEBELLO BLVD STE 100, MONTEBELLO, CA 906404269 (Tel: 1323837040)

📍
Updated Business Mailing Address February 24, 2023

Registered at 400 N MONTEBELLO BLVD STE 100, MONTEBELLO, CA 906404269

👤
Provider Name / Credentials Updated February 24, 2023

Recorded as STEPHANIE PETRENKO, M.A., BCBA

NPI Profile Active May 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2017

Registered at 19300 S HAMILTON AVE, SUITE 130, GARDENA, CA 902484400 (Tel: 3103277824)

📍
Updated Business Mailing Address May 08, 2017

Registered at 5709 W SUNSET HWY, SUITE 100, SPOKANE, WA 992246005 (Tel: 5092092690)

👤
Provider Name / Credentials Updated May 08, 2017

Recorded as STEPHANIE GARLICK, M.A., BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2017

Behavior Analyst (License #1-13-13306 in CA)

NPI Profile Active May 09, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2013

Registered at 18350 MOUNT LANGLEY ST, # 105, FOUNTAIN VALLEY, CA 927086900 (Tel: 7149652324)

📍
Updated Business Mailing Address May 09, 2013

Registered at 18350 MOUNT LANGLEY ST, # 105, FOUNTAIN VALLEY, CA 927086900 (Tel: 7149652324)

👤
Provider Name / Credentials Updated May 09, 2013

Recorded as STEPHANIE BIBEAU, M.A., BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2013

Behavior Analyst (License #1-13-13306 in CA)

🟢
Initial NPI Registration & Enumeration May 09, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174968655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2013
Last Update: February 24, 2023
Sole Proprietor: No

Mailing Address

400 N Montebello Blvd Ste 100

Montebello, CA 906404269

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.