MICHAELA MARIE STACY


Address: 11240 Waples Mill Rd, Fairfax, VA 22030-6078
Phone: 7032372219

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 11240 WAPLES MILL RD
City FAIRFAX
State VA
Zip Code 22030-6078

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City FAIRFAX
Zip Code 22030

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Dataset Information

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.

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