Active NPI
Stacey Roberts
- Behavior Analyst
- Metairie, LA
National Provider Identifier
1407779960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 193400000X
- Practice address
- 2612 Metairie Rd
Metairie, LA 70001-5426 - Phone
- (504) 641-4302
- Fax
- (954) 342-0273
- NPI assigned
- Aug 3, 2026
- Sex
- Male
- 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 | 193400000X | LA | Primary |
Addresses
Primary practice location
2612 Metairie Rd
Metairie, LA 70001-5426
Mailing address
7510 Kingsport Blvd
7510 Kingsport Boulevard
New Orleans, LA 70128-2114
Phone (504) 641-4302
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": "1785715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1407779960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7510 KINGSPORT BLVD",
"address_2": "7510 KINGSPORT BOULEVARD",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701282114",
"telephone_number": "504-641-4302",
"fax_number": "954-342-0273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2612 METAIRIE RD",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700015426",
"telephone_number": "504-641-4302",
"fax_number": "954-342-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "STACEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-03",
"last_updated": "2026-08-03",
"certification_date": "2026-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "LA",
"license": "193400000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.