Active NPI
Stacy Lee
- Behavior Analyst
- Pomona, CA
National Provider Identifier
1609460591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-59153
- Practice address
- 31 Rancho Camino Dr FL 2
Pomona, CA 91766-7030 - Phone
- (909) 634-3974
- NPI assigned
- Feb 22, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | CA | ||
| Behavior Analyst | 103K00000X | 1-22-59153 | CA | Primary |
Addresses
Primary practice location
31 Rancho Camino Dr FL 2
Pomona, CA 91766-7030
Mailing address
1219 W Francisquito Ave
West Covina, CA 91790-4774
Phone (310) 920-8944
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1609460591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 W FRANCISQUITO AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917904774",
"telephone_number": "310-920-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 RANCHO CAMINO DR FL 2",
"city": "POMONA",
"state": "CA",
"postal_code": "917667030",
"telephone_number": "909-634-3974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "STACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-22",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-22-59153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.