Stacey Renee Shinn, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-21977 Issued in WA

Practice address

500 Ala Moana Blvd Ste 7400
Honolulu, HI 96813-4902

Phone

(808) 501-1300

Fax

(855) 892-0299

NPI assigned

Jun 5, 2018

Last updated

Apr 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Stacey Stenger Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1043702905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 AIRPORT RD TRLR G18",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108116",
            "telephone_number": "812-528-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD STE 7400",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134902",
            "telephone_number": "808-501-1300",
            "fax_number": "855-892-0299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3322 Noe Way Apt 1",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402201861",
            "country_code": "US",
            "telephone_number": "812-528-0975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINN",
        "first_name": "STACEY",
        "middle_name": "RENEE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA60982073",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-937",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-16-21977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "STENGER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jay Rajiv Shinde, M.B.B.S.
• Kristy Melissa Shine, MD, PHD
• Man Wa Shing
• Takashi Shinha, MD
• Kyla-Rose Piilani Shinko
• Jeanine Shinno
• Jill E. Shinno, NP
• Hiroko Shinoda, M.D.
• Joyce Shinoyama
• Rika Shinsato

• Behavior Analyst in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Behavior Analyst in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.