Stacey Lynn Galietti, MA, BCBA, LBA

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

1800 W Big Beaver Rd
Troy, MI 48084-3545

Phone

(586) 464-0175

Fax

(586) 464-0178

NPI assigned

Jun 17, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Stacey Lynn Pallis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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  • Speech-Language Pathologist
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  Behavior Analyst

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1003220146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28241 MOUND RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925523",
            "telephone_number": "989-401-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843545",
            "telephone_number": "586-464-0175",
            "fax_number": "586-464-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALIETTI",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "PALLIS",
            "middle_name": "LYNN",
            "credential": "MA, BCBA, LBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jayden Gaeth
• Tessa Gaggo, PA-C
• Yousif Gagi
• Tarsha Gale, M.A., TLLP
• Stephen A Galens, MD
• Mason Gallagher
• Michael J Gallagher, MD
• Karen Anne Almeda Gallardo, DPT
• Lauren Lee Gallaway
• Joseph Gamalski, D. O.

• All providers in Troy, MI
• Other Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.