Stacey Ettiene

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2026022902 Issued in MO

Practice address

7280 NW 87TH Ter Ste C-210
Kansas City, MO 64153-3720

Phone

(855) 284-6634

NPI assigned

Sep 28, 2023

Sex

Female

Sole proprietor

No

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": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1407635337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 SYLVAN LN",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652023607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 NW 87TH TER STE C-210",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641533720",
            "telephone_number": "855-284-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTIENE",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2026022902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana J. Etherton-Still, RN,MSN,CPNP
• Kristin Etherton, BCBA
• Joshua Charles Ethridge, LMSW
• Nyemah Etienne
• Etre Counseling KC
• Angela Dawn Etzenhouser, M.D.
• Eu-Dose Solutions, LLC
• Rachel Eubank, RD, LD
• Lindie Eubanks
• Megan Elizabeth Euerle, DO

• Behavior Analyst in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.