Mark Stafford, BCBA,LPA

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

1492 Issued in NC

Practice address

1100 W NC Highway 54 Byp
Apt. 40
Chapel Hill, NC 27516-2817

Phone

(919) 636-1948

NPI assigned

Nov 4, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1699104240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W NC HIGHWAY 54 BYP",
            "address_2": "APT. 40",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162817",
            "telephone_number": "919-636-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W NC HIGHWAY 54 BYP",
            "address_2": "APT. 40",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162817",
            "telephone_number": "919-636-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "MARK",
        "credential": "BCBA,LPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NC",
            "license": "1492",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alessandra Stachowski, MSW
• Richard Sean Stack, M.D.
• Taylor Jo Stack, MD
• Ashlyn Stackhouse, CGC
• Clare Andrea Stadlen, LCSW
• Renae E Stafford, MD
• Sarah Grace Stafford, MD
• Stuart-Allison Moffat Staley, MD, MPH
• Joseph Matthias Stallings
• Michaela Diane Stambaugh

• Intellectual & Developmental Disabilities Psychologist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Intellectual & Developmental Disabilities Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.