Active NPI
Threase Stucker, MS, BCBA, LBA
- Behavior Analyst
- Shelbyville, KY
National Provider Identifier
1013373083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 164976
- Practice address
- 1900 Midland TRL Ste 2B
Shelbyville, KY 40065-8174 - Phone
- (502) 437-0640
- Fax
- (502) 317-0897
- NPI assigned
- Jan 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | AN00211222 | KY | |
| Behavior Analyst | 103K00000X | 164976 | KY | Primary |
Addresses
Primary practice location
1900 Midland TRL Ste 2B
Shelbyville, KY 40065-8174
Mailing address
938 Collins LN
Frankfort, KY 40601-4310
Phone (502) 655-0650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164976 | KY | MD | Behavioral Analyst |
| AN00211222 | KY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761436800000",
"number": "1013373083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "938 COLLINS LN",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406014310",
"telephone_number": "502-655-0650",
"fax_number": "502-317-0897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 MIDLAND TRL STE 2B",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400658174",
"telephone_number": "502-437-0640",
"fax_number": "502-317-0897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUCKER",
"first_name": "THREASE",
"credential": "MS, BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-06",
"last_updated": "2025-10-26",
"certification_date": "2025-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "AN00211222",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "164976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.