STACEY LYNNE FEARS


Address: 10119 E Isleta Ave, Mesa, AZ 85209-7775
Phone: 6024715022

STACEY LYNNE FEARS (NPI# 1477041895) 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) 1477041895
Entity Type Individual
Full Name STACEY LYNNE FEARS
Credential RBT
Practice Address 10119 E Isleta Ave
Mesa
AZ 85209-7775
Practice Telephone 6024715022
Mailing Telephone 6024715022
Enumeration Date 2018-05-01
Last Update Date 2018-05-01
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

Other Providers STACEY FEARS

NPI Name Taxonomy Address Enumeration
1922358027 Stacey Lorriane Fears Nurse Practitioner 1003 Oak Rd Sw Ste B, Lilburn, GA 30047-1826 2012-09-16

Office Location

Street Address 10119 E ISLETA AVE
City MESA
State AZ
Zip Code 85209-7775

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013539568 Wingfoot Wellness & Hormones LLC Nurse Practitioner 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 2020-05-07
1558916247 Shiny Susan Thomas Family Medicine 7615,east Baseline Road, Mesa, AZ 85209 2019-08-08
1245798933 Premier Care Medical Services Pllc Clinic/Center 7363 E Naranja Ave, Mesa, AZ 85209 2019-03-12
1518450568 Mhb Services Internal Medicine 1301 S Crismon Road, Mesa, AZ 85209 2018-06-13
1174012934 Andrew Swenson Student in an Organized Health Care Education/Training Program 10238 E. Hampton #406, Mesa, AZ 85209 2018-05-08
1689196057 Monica R Meyer Registered Nurse 2424 S Rowen, Mesa, AZ 85209 2017-07-07
1629507041 Rachel Ann Navarro Occupational Therapist 10431 E Natal Ave, Mesa, AZ 85209 2017-06-08
1073041331 Michelle Resendez Nurse Practitioner 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 2017-05-31
1275069569 Michelle Amado Nurse Practitioner 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 2017-05-04
1982138079 Warren Brent Thomas Nurse Anesthetist, Certified Registered 10632 E Kiva Ave, Mesa, AZ 85209 2017-04-14
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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
1134739006 Sara Abawage Behavior Technician 460 S Temple St, Mesa, AZ 85204-2637 2020-08-05
1295374015 Tiffany Smith Behavior Technician 550 E Mckellips Rd Apt 2067, Mesa, AZ 85203-9627 2019-12-26
1366080970 Hannah Golladay Behavior Technician 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 2019-12-13
1427607670 Jenna Lundquist Behavior Technician 2222 S Dobson Rd Unit 9, Mesa, AZ 85202-6481 2019-09-10
1104394139 Maxine H Arrington Behavior Technician 2245 S Valle Verde Cir, Mesa, AZ 85209-1528 2018-11-07
1790277069 John Martinsen Behavior Technician 1932 N Mesa Dr Unit 7, Mesa, AZ 85201-1622 2018-06-03
1437647021 Carla Lawson Behavior Technician 150 W 9th St, Mesa, AZ 85201-4213 2018-04-29
1669995098 Karen Walker Behavior Technician 4250 E Florian Ave Bldg 2, Mesa, AZ 85206-2797 2017-07-18
1710429998 Victoria Armstrong-mensah Behavior Technician 3030 N Saranac, Mesa, AZ 85207-1563 2016-11-05
1538760327 Dakota Hagood Behavior Technician 2266 S Dobson Rd Ste 200, Mesa, AZ 85202-6412 2020-11-06
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Competitor

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City MESA
Zip Code 85209

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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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