Stacie Marie Maxwell, MA-SPED/ABA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA61282307 Issued in WA

Practice address

455 W Stuart Rd
Bellingham, WA 98226-1204

Phone

(360) 348-6414

NPI assigned

Apr 27, 2022

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

State licenses

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1730824475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6297 CHESTNUT DR",
            "city": "MAPLE FALLS",
            "state": "WA",
            "postal_code": "982668262",
            "telephone_number": "360-961-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W STUART RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982261204",
            "telephone_number": "360-348-6414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6297 Chestnut Dr",
            "address_purpose": "LOCATION",
            "city": "Maple Falls",
            "state": "WA",
            "postal_code": "982668262",
            "country_code": "US",
            "telephone_number": "360-961-2593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "STACIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA-SPED/ABA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61282307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen a Kelty MD PC
• Clare Maven
• Cindy Leigh Maxwell, LMP
• Rachel Ann Maxwell, PA-C
• Russell Stanley Maxwell, CHIROPRACTOR DC
• James Madison May IV, PSY.D
• Rachel Hill May, ARNP
• Johannah Lacy Maybach
• Kelly Melissa Maycumber, LRCP
• Katherine R Mayer, MD

• Behavior Analyst in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.