Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891241949 Individual Practitioner Female Practitioner

Stephanie B Duncan Kidwell

Developmental Therapist • Cocoa, FL

Professional Overview & Biography Verified Profile Summary

Stephanie Duncan Kidwell is a registered healthcare professional specializing in Developmental Therapist in Cocoa, FL. Practice services are available at 453 COCOA ST. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

453 Cocoa St.

Cocoa, FL 32922

Telephone 3216335511
Associated Practice Facility / Clinic
🏢 Creative Learning Inc. Facility NPI 1811362999

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Cocoa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Cocoa, FL (4429 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

Developmental Therapist Primary Specialty

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jeanette Pittman , BS

Behavior Analyst

NPI 1023568300

Bachelor of Science

Heidi Comer

Behavior Technician

NPI 1043721368
Paige Wright

Behavior Technician

NPI 1043745029
NPI 1063961589

Master of Science, Board Certified Behavior Analyst

Hannuar Mendoza , RBT

Behavior Technician

NPI 1083079180

Registered Behavior Technician

Stasha Ashbrook

Behavior Analyst

NPI 1083131403

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 21, 2019

Registered at 453 COCOA ST., COCOA, FL 32922 (Tel: 3216335511)

📍
Updated Business Mailing Address May 21, 2019

Registered at 453 COCOA ST., COCOA, FL 32922 (Tel: 3216335511)

👤
Provider Name / Credentials Updated May 21, 2019

Recorded as STEPHANIE DUNCAN KIDWELL

NPI Profile Active August 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2016

Registered at 500 FAIRWAY DR, STE 102, DEERFIELD BCH, FL 334411814 (Tel: 8888809270)

📍
Updated Business Mailing Address August 29, 2016

Registered at 500 FAIRWAY DR, STE 102, DEERFIELD BCH, FL 334411814 (Tel: 8888809270)

👤
Provider Name / Credentials Updated August 29, 2016

Recorded as STEPHANIE DAISEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2016

Developmental Therapist

🟢
Initial NPI Registration & Enumeration August 29, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1891241949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2016
Last Update: May 21, 2019
Sole Proprietor: No

Mailing Address

453 Cocoa St.

Cocoa, FL 32922

Phone: 3216335511

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.