Stacey Bass

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-16998 Issued in FL

Practice address

8801 J M Keynes Dr Ste 325
Charlotte, NC 28262-8613

Phone

(252) 751-0518

NPI assigned

Jan 27, 2015

Last updated

Sep 14, 2026By the provider in NPPES

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

Practice roles

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

• Lets Grow ABA

  • Behavior Analyst
  • Bushnell, FL
  • NPI 1427930700
  NPD Authorized official
• Codoga LLC

  • Behavior Analyst
  • Brooklyn, NY
  • NPI 1811674211
  NPD (past)

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1801286000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 DUNHAGAN RD STE 102",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278586640",
            "telephone_number": "252-751-0518",
            "fax_number": "252-565-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 J M KEYNES DR STE 325",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628613",
            "telephone_number": "252-751-0518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 W Main St Ste 1",
            "address_2": "08371600",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347482842",
            "country_code": "US",
            "telephone_number": "352-630-4133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASS",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-14-16998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Waldrop Bass, M.ED., CCC-SLP
• Madison Bass
• Michelle Lynne Bass, PA
• Sallie W. Bass, CRNA
• Sharessa M Bass
• Sydney Delissa Bassard, CCC-SLP
• Shakica N Bastfield
• Kate Louise Bastida, LCAS, LMFT
• Calea Bastnagel
• Brian Gregory Batas, MD

• Behavior Analyst in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Behavior Analyst in North Carolina

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

Verify at the official NPI Registry.