Macy Lana Stoller

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

4840-21-0184 Issued in IN

Practice address

2131 Alabama Ave
Fort Wayne, IN 46805-4405

Phone

(260) 246-7239

NPI assigned

Mar 15, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1741996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741996800000",
    "number": "1114727591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 ALABAMA AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054405",
            "telephone_number": "260-246-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 ALABAMA AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054405",
            "telephone_number": "260-246-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLER",
        "first_name": "MACY",
        "middle_name": "LANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "4840-21-0184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren June Stoffel, DO
• William Stoffel, RPH
• Valerie D. Stogdill, PA-C
• Carmen Mae Stoller
• Chad Stoller, DDS, PA-C
• Thomas L Stoller, RPH
• Jeffrey Stone, RPH
• Shelby Payton Stone, PA-C
• Mark F Stoner, D.D.S.
• Maxine Stoner, RN

• Behavior Technician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.