Individual provider Active NPI

Becky Staudacher, MS, BCBA

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1518328657
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
7401000980 Issued in MI
Practice address
7712 Unicorn Tapestry CT
Las Vegas, NV 89149-0437
Phone
(734) 945-6473
NPI assigned
Mar 17, 2016
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X
Behavior Analyst 103K00000X 7401000980 MI Primary

Addresses

Primary practice location

7712 Unicorn Tapestry CT
Las Vegas, NV 89149-0437

Mailing address

7712 Unicorn Tapestry CT
Las Vegas, NV 89149-0437
Phone (734) 945-6473

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
7401000980MIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Uniquely Me Therapies LLC Behavior Analyst CurrentSince Dec 21, 2021 Accepting new patients

Organizations & group practices 1

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": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1518328657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7712 UNICORN TAPESTRY CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891490437",
            "telephone_number": "734-945-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7712 UNICORN TAPESTRY CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891490437",
            "telephone_number": "734-945-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUDACHER",
        "first_name": "BECKY",
        "name_prefix": "Mrs.",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401000980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.