Active NPI
Stacy R Cianciolo, BCBA
- Behavior Analyst
- Shaker Heights, OH
National Provider Identifier
1255560116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-08-4812
- Practice address
- 2558 Kendall Rd
Shaker Heights, OH 44120-1141 - Phone
- (216) 287-6174
- NPI assigned
- Jul 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-08-4812 | Primary |
Addresses
Primary practice location
2558 Kendall Rd
Shaker Heights, OH 44120-1141
Mailing address
2558 Kendall Rd
Shaker Heights, OH 44120-1141
Phone (216) 287-6174
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247443200000",
"number": "1255560116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2558 KENDALL RD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441201141",
"telephone_number": "216-287-6174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2558 KENDALL RD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441201141",
"telephone_number": "216-287-6174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIANCIOLO",
"first_name": "STACY",
"middle_name": "R",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-13",
"last_updated": "2009-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-08-4812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.