Individual provider Active NPI

Staci Lynn Crear, BCBA

  • Behavior Analyst
  • Mesa, AZ
National Provider Identifier
1235899600
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-18942 Issued in AZ
Practice address
2150 S Country Club Dr Ste 36
Mesa, AZ 85210-6886
Phone
(619) 339-5596
Fax
(877) 602-5087
NPI assigned
Dec 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 1-15-18942 AZ Primary

Addresses

Primary practice location

2150 S Country Club Dr Ste 36
Mesa, AZ 85210-6886

Mailing address

2150 S Country Club Dr Ste 36
Mesa, AZ 85210-6886
Phone (619) 339-5596

Other practice location 1

459 N Gilbert Rd Ste C100
Gilbert, AZ 85234-4736
Phone (480) 734-3851

Other identifiers 1

IdentifierTypeStateIssuer
1225206444MedicaidAZ

Other names 1

  • Staci Lynn Rybacki Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mebe Arizona, LLC Behavior Analyst CurrentSince Jul 13, 2025 Accepting new patients
San Tan Behavioral Health Services PastSince Jan 1, 2022 Accepting new patients
San Tan Behavioral Health Services LLC PastSince Jan 1, 2022 Accepting new patients

Locations

2150 S Country Club Dr
Ste 36
Mesa, AZ 85210
Phone (480) 527-9128

2150 S Country Club Dr
Ste 38
Mesa, AZ 85210
Phone (480) 772-1809

Organizations & group practices 3

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": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1235899600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 S COUNTRY CLUB DR STE 36",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106886",
            "telephone_number": "619-339-5596",
            "fax_number": "877-602-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S COUNTRY CLUB DR STE 36",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106886",
            "telephone_number": "619-339-5596",
            "fax_number": "877-602-5087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "459 N Gilbert Rd Ste C100",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852344736",
            "country_code": "US",
            "telephone_number": "480-734-3851",
            "fax_number": "480-632-0026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREAR",
        "first_name": "STACI",
        "middle_name": "LYNN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "1-15-18942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225206444",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "RYBACKI",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.