Staci Ferg, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

152 Issued in WI

Practice address

W556 Wrightstown Rd
Kaukauna, WI 54130-9701

Phone

(920) 205-0475

NPI assigned

Jul 18, 2016

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

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 and National Provider Directory roles.

• Fox Valley Autism Treatment Program

  • Behavior Analyst
  • Kaukauna, WI
  • NPI 1336648666
  NPD Authorized official

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1922451657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W556 WRIGHTSTOWN RD",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541309701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W556 WRIGHTSTOWN RD",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541309701",
            "telephone_number": "920-205-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERG",
        "first_name": "STACI",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Rae Dragosh, D.C.
• Trish L Dragosh, M.T.
• Mark Arthur Ebben, OD OPTOMETRIST
• William J. Farrow, D.D.S.
• Amy Fehlauer, PTA
• Robin M Fischer, LPC
• Beth M Fluette, RN
• Fox Valley Autism Treatment Program
• Elliot B Franczek, MD
• Nicole Christine Giordana, M.S.

• Behavior Analyst in Kaukauna, WI
• Providers in Kaukauna, WI by specialty
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.