Active NPI
Stacy Stapleton, M.ED., BCBA
- Behavior Analyst
- Oakland, CA
National Provider Identifier
1508271552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-15980
- Practice address
- 400 29TH St
Suite 204
Oakland, CA 94609-3522 - Phone
- (415) 748-8052
- NPI assigned
- Jun 29, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 1-14-15980 | CA | Primary |
Addresses
Primary practice location
400 29TH St
Suite 204
Oakland, CA 94609-3522
Mailing address
450 Alcatraz Ave
Apt 8
Oakland, CA 94609-1153
Phone (925) 783-1426
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46-1741898 | Medicaid | CA |
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 Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404000000000",
"number": "1508271552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 ALCATRAZ AVE",
"address_2": "APT 8",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091153",
"telephone_number": "925-783-1426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 29TH ST",
"address_2": "SUITE 204",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093522",
"telephone_number": "415-748-8052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPLETON",
"first_name": "STACY",
"credential": "M.ED., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-29",
"last_updated": "2014-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-14-15980",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46-1741898",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.