Stacy Cleveland
Individual provider Active NPI Behavior Technician · Marion, IA
NPI 1033073309 · NPPES record last updated Dec 11, 2025
Key facts
- NPI
- 1033073309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-389180 (IA)
- Practice address
- 3297 Armar Dr
Marion, IA 52302-4748 - Phone
- (574) 387-4313
- NPI assigned
- Dec 11, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-389180 | IA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-389180 | IA | Yes |
Addresses
Primary practice location
3297 Armar Dr
Marion, IA 52302-4748
Mailing address
1827 E Ireland Rd
South Bend, IN 46614-2845
Other providers in Marion, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.