Staci Blakeslee

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-74090 Issued in FL

Practice address

7116 Hideaway TRL
New Port Richey, FL 34655-4062

Phone

(814) 440-9002

NPI assigned

Aug 7, 2024

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Family First Autism Services L.L.C.

  • Behavior Analyst
  • New Port Richey, FL
  • NPI 1730079187
  NPD Authorized official
• Behavior Analysis Consultants

  • Community/Behavioral Health Agency
  • Trinity, FL
  • NPI 1902354756
  NPD (past)

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1801626494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 HIDEAWAY TRL",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554062",
            "telephone_number": "814-440-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 HIDEAWAY TRL",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554062",
            "telephone_number": "814-440-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKESLEE",
        "first_name": "STACI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-74090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birth God's Way, Inc.
• Molly Bishop
• Troy Lang Bishop
• Tara Paige Bjorkman, LMHC
• Brooke Blaisdell
• Allisha Louise Blanco, D.C.
• Callie Lynn Blanco, APRN
• Haley M Bland, LCSW
• Blessings Treatment and Recovery Center LLC (Rockland Treatment Center)
• Blessings Treatment and Recovery Center LLC (Rockland Treatment Center)

• Behavior Analyst in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.