Stephanie Nicole Bailey, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-24739

Practice address

1536 Gratton Rd
Clarksville, TN 37043-6116

Phone

(931) 614-5271

NPI assigned

Jul 5, 2016

Last updated

Apr 29, 2022By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Ever Rooted Applied Behavior Analysis LLC

  • Behavior Analyst
  • Clarksville, TN
  • NPI 1073419826
  NPD (past) Authorized official

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1902258759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 ELKMONT DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370402866",
            "telephone_number": "712-209-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 GRATTON RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436116",
            "telephone_number": "931-614-5271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1253 Judge Tyler Dr",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370431423",
            "country_code": "US",
            "telephone_number": "931-449-0063",
            "fax_number": "931-896-2737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "268969",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "112",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-16-24739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coursheka Bailey
• Courtney Bailey, DPT
• David Samuel Bailey, D.D.S.
• Margaret Kathleen Bailey
• Paris S Bailey III, D.C
• Emily Bailor, OTR
• Heidi Bainbridge
• Katie Baine
• Amber Sharee Baker, APRN
• Bethany Baker, PTA

• Behavior Analyst in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.