Individual provider Active NPI

Stacy Arnett Cleveland, M.S., BCBA

  • Behavior Analyst
  • Marietta, GA
National Provider Identifier
1023393501
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1642 Powers Ferry Rd SE Ste 100
Marietta, GA 30067-9489
Phone
(770) 565-3045
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1642 Powers Ferry Rd SE Ste 100
Marietta, GA 30067-9489

Mailing address

1642 Powers Ferry Rd SE Ste 100
Marietta, GA 30067-9489
Phone (850) 748-0721

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

Practice roles

OrganizationSpecialtyStatusNew patients
Village Autism Center LLC Behavior Analyst CurrentSince Nov 1, 2019 Accepting new patients

Locations

4994 Lower Roswell Rd
Ste 10
Marietta, GA 30068
Phone (770) 565-3045

1642 Powers Ferry Rd SE
Ste 100
Marietta, GA 30067
Phone (770) 565-3045

3581 Habersham At Northlake
Bldg M
Tucker, GA 30084
Phone (470) 569-5942

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1023393501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 POWERS FERRY RD SE STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679489",
            "telephone_number": "850-748-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 POWERS FERRY RD SE STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679489",
            "telephone_number": "770-565-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "STACY",
        "middle_name": "ARNETT",
        "name_prefix": "Mrs.",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.