Stacey M. McIntyre, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA141 Issued in MD

Practice address

9727 Georgia Ave
Silver Spring, MD 20910-1458

Phone

(202) 420-8359

NPI assigned

Jun 20, 2007

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

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1538364336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 GROSVENOR PL APT 1417",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208524677",
            "telephone_number": "301-538-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 GEORGIA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101458",
            "telephone_number": "202-420-8359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "626 Grant St",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201704734",
            "country_code": "US",
            "telephone_number": "301-388-0605",
            "fax_number": "301-384-0403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "STACEY",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "1-01-0645",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "LBA141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rasheda F. McGuire, LCPC
• Margery McGunigal
• Thomas K. McInnes, O.D.
• Elicia McIntyre, LCSW-C
• James Patrick McIntyre, D.D.S.
• Teneisha McIntyre, PHD
• Gillian McKeever, MT-BC
• Sherri Sue McKenna, MSW
• Susan Lee McKenna
• Deanne Michelle McKenzie, MD

• Behavior Analyst in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.