Individual provider Active NPI

Kara P Stacks, M.S. BCBA, LBA

  • Behavior Analyst
  • Durant, OK
National Provider Identifier
1427727247
Registry record updated May 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
4409 Issued in TX
Practice address
372 Bryan Dr Ste 112
Durant, OK 74701-3466
Phone
(903) 444-0910
NPI assigned
Sep 7, 2021
Last updated
May 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2024

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 4409 TX Primary

Addresses

Primary practice location

372 Bryan Dr Ste 112
Durant, OK 74701-3466

Mailing address

940 Preston Rd
Denison, TX 75020-0874

Other practice location 1

718 US Highway 82 E
Sherman, TX 75090-0528
Phone (903) 444-0910

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4409TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Prince ABA Consulting Behavior Analyst CurrentSince May 19, 2024 Accepting new patients

Locations

372 Bryan Dr
Ste 112
Durant, OK 74701
Phone (903) 444-0910

718 US Highway 82 E
Sherman, TX 75090
Phone (903) 444-0910

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715472000000",
    "number": "1427727247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 PRESTON RD",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750200874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 BRYAN DR STE 112",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013466",
            "telephone_number": "903-444-0910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 US Highway 82 E",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750900528",
            "country_code": "US",
            "telephone_number": "903-444-0910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACKS",
        "first_name": "KARA",
        "middle_name": "P",
        "credential": "M.S. BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2024-05-12",
        "certification_date": "2024-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2024; 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.