STACEY BASS (NPI# 1801286000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801286000 |
| Entity Type | Individual |
| Full Name | STACEY BASS |
| Practice Address |
1650 W Main St Ste 1 08371600 Leesburg FL 34748-2842 |
| Mailing Address |
11716 Cr 727 Webster FL 33597-4354 |
| Practice Telephone | 3526304133 |
| Mailing Telephone | 3524069638 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-14-16998 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053629519 | Stacey Bass | Pharmacist | 734 N Greenwood Ave, Ware Shoals, SC 29692-1233 | 2010-09-18 |
| 1295085918 | Stacey Jannette Bass | Nurse Practitioner | 455 S Main St, Orange, CA 92868-3835 | 2012-09-11 |
| 1083877278 | Stacey A Bass | Radiology | 85 Seymour St, Suite 200, Hartford, CT 06106-5501 | 2008-07-08 |
| Street Address |
1650 W MAIN ST STE 1 08371600 |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295149581 | Alexsandra Gruszczyk | Behavioral Analyst | 1650 W Main St Ste 1, 08371600, Leesburg, FL 34748-2842 | 2014-06-16 |
| 1790383115 | Better Life Behavioral Services of Central Florida, LLC | Behavioral Analyst | 1650 W Main St Ste 1, Leesburg, FL 34748-2842 | 2020-10-16 |
| 1356957872 | Randi Alexis Connelly | Behavior Technician | 1650 W Main St Ste 1, Leesburg, FL 34748-2842 | 2020-09-21 |
| 1720618358 | Anja Cope | Behavioral Analyst | 1650 W Main St Ste 1, Leesburg, FL 34748-2842 | 2020-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| 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 |
|---|---|---|---|---|
| 1982235990 | Faith Christiane Hendon | Behavioral Analyst | 305 Harrison St Se Ste 1a, Leesburg, VA 20175-3729 | 2020-01-29 |
| 1740771534 | Nicole Smoker | Behavioral Analyst | 55 Ems T6 Ln, Leesburg, IN 46538-9423 | 2018-05-29 |
| 1821517210 | Jessica Wallace | Behavioral Analyst | 43835 Timber Sq Unit 203, Leesburg, VA 20176-3432 | 2017-09-17 |
| 1528594223 | Stefanie Henderson | Behavioral Analyst | 2858 W Main St, Leesburg, FL 34748-4631 | 2017-05-02 |
| 1245617661 | Katherine Wilcox | Behavioral Analyst | 574 Edmonton Ter Ne, Leesburg, VA 20176-1829 | 2015-05-05 |
| 1881081768 | Janet Rogers | Behavioral Analyst | 605 Smartts Ln Ne, Leesburg, VA 20176-6608 | 2015-04-18 |
| 1164819280 | Hayley Robertson | Behavioral Analyst | 801 Childrens Center Road Sw, Leesburg, VA 20175 | 2015-04-16 |
| 1114317245 | Rose Casaleno | Behavioral Analyst | 43586 Popes Creek Sq, Leesburg, VA 20176-6550 | 2015-01-27 |
| 1265832091 | Amanda Dee Walker | Behavioral Analyst | 34042 Sunset Ave, Leesburg, FL 34788-4356 | 2014-08-29 |
| 1295149581 | Alexsandra Gruszczyk | Behavioral Analyst | 1650 W Main St Ste 1, 08371600, Leesburg, FL 34748-2842 | 2014-06-16 |
| Find all providers in LEESBURG | ||||
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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.