STACIA WALLACE (NPI# 1942834163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942834163 |
| Entity Type | Individual |
| Full Name | STACIA WALLACE |
| Practice Address |
2500 Packard St Ann Arbor MI 48104-6827 |
| Mailing Address |
526 W Centre Ave Portage MI 49024-5306 |
| Practice Telephone | 5862436466 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750995452 | Stacia Marie Wallace | Case Manager/Care Coordinator | 3800 Watt Ave Ste 110, Sacramento, CA 95821-2622 | 2020-09-01 |
| Street Address |
2500 PACKARD ST |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-6827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417237868 | Comforcare Senior Services | In Home Supportive Care | 2500 Packard St, Suite #205, Ann Arbor, MI 48104-6827 | 2011-08-17 |
| 1639705312 | Rufus Brandon II | Behavior Technician | 2500 Packard St, Ann Arbor, MI 48104-6827 | 2020-03-13 |
| 1588205694 | Qiuhui Yu | Behavior Technician | 2500 Packard St, Ann Arbor, MI 48104-6827 | 2019-10-01 |
| 1437701653 | Rose Benjamin | Social Worker | 2500 Packard St, Ann Arbor, MI 48104-6827 | 2019-07-09 |
| 1295396315 | Kayla Blair Lajoie | Social Worker | 2500 Packard St, Ann Arbor, MI 48104-6827 | 2019-06-28 |
| 1720644917 | Jemilla White | Behavior Technician | 2500 Packard St, Ann Arbor, MI 48104-6827 | 2019-05-14 |
| 1649733122 | Tuan Mahadeo | Behavior Technician | 2500 Packard St, Ann Arbor, MI 48104-6827 | 2019-04-10 |
| 1841768728 | Jessica Linderman | Behavior Technician | 2500 Packard St, Ann Arbor, MI 48104-6827 | 2018-11-08 |
| 1639647787 | Destiny Copeland | Behavior Technician | 2500 Packard St, Ann Arbor, MI 48104-6827 | 2018-11-07 |
| 1841768983 | Lauren Elise Chretien | Behavioral Analyst | 2500 Packard St, Ann Arbor, MI 48104-6827 | 2018-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| 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 |
|---|---|---|---|---|
| 1992319446 | Fatima Tello | Behavior Technician | 2770 Carpenter Rd Ste 100, Ann Arbor, MI 48108-4104 | 2020-09-02 |
| 1720699192 | Karley Evans | Behavior Technician | 950 Victors Way Ste 30, Ann Arbor, MI 48108-5217 | 2020-08-11 |
| 1053920199 | Alaina Lee Stanley | Behavior Technician | 100 N Staebler Rd # Ed, Ann Arbor, MI 48103-9755 | 2020-07-24 |
| 1205459989 | Miranda Schaffer | Behavior Technician | Cbf, Ann Arbor, MI 48108-4810 | 2020-05-28 |
| 1891317749 | Daniel U Akubukwe | Behavior Technician | 3917 Research Park Dr Ste E-1a, Ann Arbor, MI 48108-2229 | 2020-05-14 |
| 1689213621 | Penny Mae Patterson | Behavior Technician | 9 Burlingame Ct, Ann Arbor, MI 48108-2503 | 2019-12-21 |
| 1023655107 | Victoria N Pearson | Behavior Technician | 1606 W Liberty St, Ann Arbor, MI 48103-4144 | 2019-12-07 |
| 1174160675 | Chanelle Miles | Behavior Technician | 3917 Research Park Dr Ste B1a, Ann Arbor, MI 48108-2229 | 2019-12-03 |
| 1336784834 | Debra Yan | Behavior Technician | 3917 Research Park Dr Ste 1b, Ann Arbor, MI 48108-2286 | 2019-11-08 |
| 1871136358 | Mckenzie Brianne Slone | Behavior Technician | 3917 Research Park Dr, Ann Arbor, MI 48108-2229 | 2019-10-28 |
| Find all providers in ANN ARBOR | ||||
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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.