Blair Stacy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-59940 Issued in KS

Practice address

9153 W 133Rd St
Overland Park, KS 66213-4333

Phone

(913) 257-5185

NPI assigned

Oct 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Behavior Project LLC

  • Behavior Analyst
  • Overland Park, KS
  • NPI 1619473550
  NPD (past)

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1427691815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9153 W 133RD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134333",
            "telephone_number": "913-257-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9153 W 133RD ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134333",
            "telephone_number": "913-257-5185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7911 Metcalf Ave",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662043836",
            "country_code": "US",
            "telephone_number": "913-257-5185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACY",
        "first_name": "BLAIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KS",
            "license": "RBT-19-99635",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": "1-22-59940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia St. Clair, ND
• Jerome Joseph Staab
• Elizabeth Stacey, RBT
• Sophia Loraine Stachofsky, LMSW
• Kayla Stacy-White
• Jessica Stacy, PSY.D.
• Kelly Stacy
• Andrea Stafos, ANP-BC
• Stages of Therapy LLC
• Angelique Mello Staggs, LMT, NBCMTB

• Behavior Analyst in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Behavior Analyst in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.