MICHAELA MARIE STACY (NPI# 1245750694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245750694 |
| Entity Type | Individual |
| Full Name | MICHAELA MARIE STACY |
| Practice Address |
11240 Waples Mill Rd Fairfax VA 22030-6078 |
| Mailing Address |
49 Duck Hollow Dr Elkton MD 21921-7609 |
| Practice Telephone | 7032372219 |
| Mailing Telephone | 4439074570 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
11240 WAPLES MILL RD |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-6078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285618405 | N & L Enterprise Inc | Durable Medical Equipment & Medical Supplies | 11240 Waples Mill Rd, Ste 306, Fairfax, VA 22030-6078 | 2005-12-01 |
| 1700441177 | Nicholas C. Rehor | Specialist/Technologist | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2019-05-01 |
| 1811453608 | Sara Irandoust | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2019-02-16 |
| 1952873028 | Sajida Perveen Chaudhry | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2018-12-29 |
| 1598249575 | Loretta Ann Mello | Occupational Therapy Assistant | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2018-09-17 |
| 1033691811 | Rebecca Learned Lambright | Occupational Therapist | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2018-08-29 |
| 1205333564 | Susana Rahamatali | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2018-04-11 |
| 1417457128 | Hosna Hamidi | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2018-02-19 |
| 1841711702 | Danielle Heim | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2017-06-30 |
| 1760919047 | Mckenzie Jeanette Moran | Behavior Technician | 11240 Waples Mill Rd, Fairfax, VA 22030-6078 | 2017-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| 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 |
|---|---|---|---|---|
| 1891330437 | Sabrina Marie Slack | Behavior Technician | 10430 Democracy Lane #102b, Fairfax, VA 22030-2203 | 2019-11-07 |
| 1932765799 | Alexandra L Wolfe | Behavior Technician | 4139 Halsted St, Fairfax, VA 22033-5527 | 2019-05-16 |
| 1265913610 | Layetta Monique Kerrick | Behavior Technician | 10340 Democracy Ln Ste 103, Fairfax, VA 22030-2518 | 2018-08-23 |
| 1306337217 | Aisha Amadou Konare | Behavior Technician | 10340 Democracy Ln Ste 102b&103, Fairfax, VA 22030-2518 | 2018-05-25 |
| 1902300031 | Kimberly Copeland | Behavior Technician | 10340 Democracy Ln # 102b103, Fairfax, VA 22030-2518 | 2018-03-22 |
| 1285137521 | Leyla Abilova | Behavior Technician | 10340 Democracy Ln # 102b-103, Fairfax, VA 22030-2518 | 2018-03-13 |
| 1003322066 | Jennifer Calderon | Behavior Technician | 10530 Warwick Ave Ste C, Fairfax, VA 22030-3132 | 2017-12-28 |
| 1720594955 | Jacqueline Clark | Behavior Technician | 10530 Warwick Ave Ste C2, Fairfax, VA 22030-3132 | 2017-12-26 |
| 1144739699 | Danielle Christina Sharp | Behavior Technician | 9870a Main Street, Fairfax, VA 22031 | 2017-09-28 |
| 1164944211 | Laura Kapner | Behavior Technician | 11240 Waples Mill Rd Ste 300, Fairfax, VA 22030-6078 | 2017-07-11 |
| Find all providers in FAIRFAX | ||||
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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.