STACEY BROWN (NPI# 1619467263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619467263 |
| Entity Type | Individual |
| Full Name | STACEY BROWN |
| Practice Address |
12975 Brookprinter Pl Ste 250 Poway CA 92064-8894 |
| Practice Telephone | 8588423930 |
| Mailing Telephone | 8588423930 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1225448301 | Stacey L. Brown | Social Worker | 2152 W Farragut Ave, Chicago, IL 60625-1204 | 2014-04-29 |
| 1164766408 | Stacey Brown | Social Worker | 2108 N Charles St, Baltimore, MD 21218-5709 | 2012-11-26 |
| 1508117623 | Stacey Brown | Home Health Aide | 6722 Hampton Dr, Cincinnati, OH 45236-3935 | 2012-09-28 |
| 1427314509 | Stacey D Brown | Counselor | 901 N Leatherleaf Loop Ste 103, Wasilla, AK 99654-6576 | 2012-04-03 |
| 1548401912 | Stacey Harris Brown | Occupational Therapist | 414 Benjamin Reid Ct, Duncan, SC 29334-9156 | 2009-03-16 |
| 1972643468 | Stacey Elizabeth Brown | Physical Therapist | 355th Medical Operations Squadron, Davis - Monthan Afb, Tucson, AZ 85707 | 2007-02-07 |
| 1912087214 | Stacey Marie Brown | Physician Assistant | 73888 Tallassee Hwy, Wetumpka, AL 36092-7308 | 2006-10-17 |
| 1982235123 | Stacey Brown | Behavior Technician | 8001 Sw 36th St Ste 9, Davie, FL 33328-1915 | 2020-01-27 |
| 1952958720 | Stacey Lynn Brown | Nurse Practitioner | 9201 E Mountain View Rd Ste 220, Scottsdale, AZ 85258-5172 | 2019-08-26 |
| Street Address |
12975 BROOKPRINTER PL STE 250 |
| City | POWAY |
| State | CA |
| Zip Code | 92064-8894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598203622 | Mara Aiken | Assistant Behavior Analyst | 12975 Brookprinter Pl Ste 250, Poway, CA 92064-8894 | 2017-02-09 |
| 1538785613 | Kiah Harkins | Behavior Technician | 12975 Brookprinter Pl Ste 250, Poway, CA 92064-8894 | 2020-06-24 |
| 1831715911 | Jemellie Dela Paz | Behavior Technician | 12975 Brookprinter Pl Ste 250, Poway, CA 92064-8894 | 2020-06-24 |
| 1780207068 | Ruben Olmos | Behavior Technician | 12975 Brookprinter Pl Ste 250, Poway, CA 92064-8894 | 2020-05-21 |
| 1922631811 | Yvonne Irizarry | Behavior Technician | 12975 Brookprinter Pl Ste 250, Poway, CA 92064-8894 | 2020-02-19 |
| 1760013155 | Edward Chavarin | Behavior Technician | 12975 Brookprinter Pl Ste 250, Poway, CA 92064-8894 | 2020-02-04 |
| 1164053971 | Joseph Francisco | Behavior Technician | 12975 Brookprinter Pl Ste 250, Poway, CA 92064-8894 | 2020-01-30 |
| 1114557774 | Mirian Parra | Behavior Technician | 12975 Brookprinter Pl Ste 250, Poway, CA 92064-8894 | 2020-01-23 |
| 1558906420 | Eric Salinas | Behavior Technician | 12975 Brookprinter Pl Ste 250, Poway, CA 92064-8894 | 2019-11-14 |
| 1346885225 | Raquelita Velasco | Behavior Technician | 12975 Brookprinter Pl Ste 250, Poway, CA 92064-8894 | 2019-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| 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. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619527462 | Jennifer Lynne Purcell | Behavior Technician | 17799 Valle Verde Rd, Poway, CA 92064-1001 | 2019-09-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1275023053 | Kelsea Wright | Behavior Technician | 15708 Pomerado Rd Ste 102, Poway, CA 92064-2035 | 2018-05-16 |
| 1437762416 | Hye Sim Chung | Behavior Technician | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2020-08-28 |
| 1538785613 | Kiah Harkins | Behavior Technician | 12975 Brookprinter Pl Ste 250, Poway, CA 92064-8894 | 2020-06-24 |
| 1831715911 | Jemellie Dela Paz | Behavior Technician | 12975 Brookprinter Pl Ste 250, Poway, CA 92064-8894 | 2020-06-24 |
| 1780207068 | Ruben Olmos | Behavior Technician | 12975 Brookprinter Pl Ste 250, Poway, CA 92064-8894 | 2020-05-21 |
| 1235765868 | Christopher S Dewitt | Behavior Technician | 15708 Pomerado Rd, Poway, CA 92064-2066 | 2020-03-16 |
| 1821622622 | Satinder Kaur | Behavior Technician | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2020-03-02 |
| 1093349904 | Maya Marie Bonelli | Behavior Technician | 15708 Pomerado Rd Ste 102n, Poway, CA 92064-2035 | 2020-02-29 |
| Find all providers in POWAY | ||||
Please comment or provide details below to improve the information on STACEY BROWN.
| 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.