STACEY MARTIN (NPI# 1417316183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417316183 |
| Entity Type | Individual |
| Full Name | STACEY MARTIN |
| Credential | MA, BCBA, LBA |
| Practice Address |
1460 Nw Vivion Rd Kansas City MO 64118-4555 |
| Practice Telephone | 8168530946 |
| Mailing Telephone | 8168530946 |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 2014033331 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089221 | Stacey Louise Martin | Social Worker | 800 Mcknight Park Dr, Pittsburgh, PA 15237-6513 | 2020-10-07 |
| 1972997468 | Stacey Marie Martin | Developmental Therapist | 500 Fairway Dr.ste.102, Butterfly Effects LLC, Deerfield Beach, FL 33441 | 2015-03-24 |
| 1134513690 | Stacey Edith Martin | Registered Nurse | 1111 E Stanley Blvd Ste 112, Livermore, CA 94550-4115 | 2015-03-23 |
| 1770863771 | Stacey Marie Martin | Speech-Language Pathologist | 1736 Middleton Avenue, Lisle, IL 60532 | 2011-08-22 |
| 1386953099 | Stacey L. Martin | Physical Therapy Assistant | 1333 Spring St., Petoskey, MI 49770 | 2010-09-29 |
| 1558384289 | Stacey A Martin | Podiatrist | 436 Graham Rd, Cuyahoga Falls, OH 44221-1302 | 2006-07-25 |
| 1982186946 | Stacey Martin | Counselor | 3036 Ne Mlk Jr Blvd, Portland, OR 97212-3053 | 2018-09-05 |
| 1538657861 | Stacey Crystal Martin | Registered Nurse | 6140 S Broadway, Lorain, OH 44053 | 2018-04-23 |
| 1114434073 | Stacey Lynn Martin | Physical Medicine & Rehabilitation | 100 Mount Allen Dr, Mechanicsburg, PA 17055-6171 | 2018-01-01 |
| 1780946616 | Stacey N Martin | Registered Nurse | 1500 Sw 1st Ave, Ocala, FL 34471-6504 | 2012-06-15 |
| Street Address |
1460 NW VIVION RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64118-4555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376870865 | Summit Behavioral Services, LLC | Community/Behavioral Health | 1460 Nw Vivion Rd, Kansas City, MO 64118 | 2009-11-04 |
| 1841898921 | Gabrielle Stuart | Behavior Technician | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-10-12 |
| 1508472036 | Hailey N Mancuso | Behavior Technician | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-09-21 |
| 1225641095 | Ashley E Price | Behavioral Analyst | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-08-31 |
| 1598378358 | Emily Joyce | Assistant Behavior Analyst | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-08-30 |
| 1790398840 | Taylor Paige Robinson | Behavior Technician | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-08-28 |
| 1043831324 | Natheo Robinson | Behavior Technician | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-04-28 |
| 1588291017 | Tyler Blyth | Behavior Technician | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-03-25 |
| 1649807116 | Summit Future Foundation | Day Training, Developmentally Disabled Services | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-03-25 |
| 1437781465 | Madison Ann Harley | Behavioral Analyst | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356955611 | Haley Bogers | Speech-Language Pathologist | 6910 N Homes Street, 200, Gladstone, MO 64118 | 2020-09-03 |
| 1902447618 | Gladstone Family Dental Associates LLC | Dentist | 2019 Ne 72nd Street, 105, Gladstone, MO 64118 | 2019-10-03 |
| 1407339179 | Natalie Klima Rinehart | Massage Therapist | 5545 North Oak Traffic Way, Kansas City, MO 64118 | 2018-09-10 |
| 1255823670 | Giselle Salioa | Physical Therapist | Maple Wood Care Center, 724 Ne 79th Terrace, Kansas City, MO 64118 | 2018-06-01 |
| 1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
| 1174915649 | Angela Nap | Behavioral Analyst | 5738 N Broadway St, Kansas City, MO 64118 | 2015-02-20 |
| 1306188784 | Rachel T Weihe | Internal Medicine | 200 Ne 54th Street, Suite 111, Kansas City, MO 64118 | 2013-03-22 |
| 1114285947 | Samuel Wieland Schowengerdt | Internal Medicine | 5330 N Oak Trfy Ste 102, Kansas City, MO 64118 | 2012-04-30 |
| 1750607438 | Anna Scire | Physical Therapy Assistant | 811 Ne 81st St, Kansas City, MO 64118 | 2010-04-20 |
| 1568634376 | Sharon L. Rider | Counselor | 200 Ne 54th St. Suite 202, Creekwood II, Kc, MO 64118 | 2008-04-01 |
| Find all providers in zip 64118 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669015442 | Hailey Jamison | Behavioral Analyst | 5801 Nw 63rd St Apt 7007, Kansas City, MO 64151-3324 | 2019-10-23 |
| 1578020681 | Madison Summerfield | Behavioral Analyst | 5127 Lawn Ave, Kansas City, MO 64130-3148 | 2019-02-25 |
| 1700341344 | Ashley Oakes | Behavioral Analyst | 4240 Blue Ridge Blvd Ste 701, Kansas City, MO 64133-1709 | 2019-02-07 |
| 1053802637 | Kristin Mace | Behavioral Analyst | 248 Ne Barry Rd, Kansas City, MO 64155-2722 | 2018-05-19 |
| 1497258875 | Sarah Kempker | Behavioral Analyst | 5602 E 84th Ter Apt D, Kansas City, MO 64132-2760 | 2018-03-13 |
| 1992205629 | Riley Aba & Autism Center | Behavioral Analyst | 5627 Wornall Rd, Kansas City, MO 64113-1216 | 2018-02-19 |
| 1972028918 | Savanna Michelle Krull | Behavioral Analyst | 5422 Ne Circle Dr, Kansas City, MO 64119-2650 | 2017-08-10 |
| 1558881185 | Lindsey Turner | Behavioral Analyst | 1460 Nw Vivion Rd # 2, Kansas City, MO 64118-4555 | 2017-06-24 |
| 1629429048 | Jennifer Hull | Behavioral Analyst | 8114 N Drury Ave, Kansas City, MO 64119-7835 | 2016-06-27 |
| 1871947614 | Brittaney Krug | Behavioral Analyst | 3749 N Prospect St, Kansas City, MO 64117-2482 | 2016-04-18 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64118 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.