Active NPI
Stacey L Mika, MS, BCBA
- Behavior Analyst
- McAdoo, PA
National Provider Identifier
1902413941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12044424
- Practice address
- 9 Banks Ave
McAdoo, PA 18237-2508 - Phone
- (570) 802-3099
- NPI assigned
- Sep 24, 2020
- Last updated
- Sep 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 12044424 | PA | Primary |
Addresses
Primary practice location
9 Banks Ave
McAdoo, PA 18237-2508
Mailing address
107 Maple Ter
Nesquehoning, PA 18240-2125
Phone (570) 952-4066
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12044424 | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1902413941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 MAPLE TER",
"city": "NESQUEHONING",
"state": "PA",
"postal_code": "182402125",
"telephone_number": "570-952-4066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 BANKS AVE",
"city": "MCADOO",
"state": "PA",
"postal_code": "182372508",
"telephone_number": "570-802-3099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKA",
"first_name": "STACEY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MS, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-24",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "12044424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAdoo, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.