Mira Nicole Stallings, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3633 Wheeler Rd Ste 320
Augusta, GA 30909-6552

Phone

(706) 691-4729

NPI assigned

Aug 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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

• Abascape LLC

  • Behavior Analyst
  • Augusta, GA
  • NPI 1740953140
  NPD Authorized official

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1619386703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 FOSTER SPROUSE RD",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308246918",
            "telephone_number": "706-691-4729",
            "fax_number": "706-843-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 WHEELER RD STE 320",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096552",
            "telephone_number": "706-691-4729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2171 Foster Sprouse Rd",
            "address_purpose": "LOCATION",
            "city": "Thomson",
            "state": "GA",
            "postal_code": "308246918",
            "country_code": "US",
            "telephone_number": "706-691-4729",
            "fax_number": "706-843-6294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "MIRA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Stadsvold, MD
• Linda Faye Stafford, LMSW
• Peter Joseph Stager, M.D.
• Ashton Leigh Stallings, PA-C
• Judith Stallings, PA
• Richard Patrick Stallings, MD
• Tara Tanksley Stallings, MA PC , CCL
• Whitney Leigh Stallings, RN
• Clay N Stallworth, MD
• Leila E Stallworth, MD

• Behavior Analyst in Augusta, GA
• Providers in Augusta, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.