Individual provider Active NPI

Stacy A Layer, MA, BCBA

  • Behavior Analyst
  • Pompano Beach, FL
National Provider Identifier
1750707147
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1084905 Issued in FL
Practice address
200 SE 19TH Ave
Pompano Beach, FL 33060-7543
Phone
(954) 654-2146
Fax
(954) 416-2445
NPI assigned
Mar 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1084905 FL Primary

Addresses

Primary practice location

200 SE 19TH Ave
Pompano Beach, FL 33060-7543

Mailing address

200 SE 19TH Ave
Pompano Beach, FL 33060-7543
Phone (954) 654-2146

Other practice location 1

10427 SW 49th Pl
Cooper City, FL 33328-4054
Phone (785) 550-2253

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1084905FLMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1750707147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SE 19TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607543",
            "telephone_number": "954-654-2146",
            "fax_number": "954-416-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SE 19TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607543",
            "telephone_number": "954-654-2146",
            "fax_number": "954-416-2445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10427 SW 49th Pl",
            "address_purpose": "LOCATION",
            "city": "Cooper City",
            "state": "FL",
            "postal_code": "333284054",
            "country_code": "US",
            "telephone_number": "785-550-2253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAYER",
        "first_name": "STACY",
        "middle_name": "A",
        "credential": "MA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1084905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.