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MICHAEL BRYAN STACK
NPI 1013618065
Behavior Analyst in Jackson, MS

Active since March 16, 2023
1513 LAKELAND DR, JACKSON, MS 39216(769) 777-1000 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2026, Mar 16, 2023 (2 updates tracked since 2023).

About Michael Bryan Stack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL BRYAN STACK (NPI 1013618065) is an individual behavior analyst provider in Jackson, Mississippi, licensed in Mississippi (1-25-85361) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1013618065
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameMICHAEL BRYAN STACK
Location Address1513 LAKELAND DRJackson, MS 39216-4829
Mailing Address1606 Laurel StJackson, MS 39202-1243 · (601) 942-4089
Phone(769) 777-1000
Sole ProprietorNo
Enumeration DateMarch 16, 2023
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1013618065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MS · 1-25-85361
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-22-226002 (MS)
1513 LAKELAND DR, Jackson, MS 39216
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT CALEB CAUTHEN
Counselor (Mental Health)
1513 LAKELAND DR
JACKSON, MS 39216
Hinds County (769) 777-1000
DR. BRYANT RIDGWAY BOSWELL DDS
Dentist
1513 LAKELAND DR, SUITE 201
JACKSON, MS 39216
Hinds County (601) 366-1242
MRS. MARIAH USRY PACE
Behavior Technician
1513 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 352-7784
DR. CLAIRE BRABEC ROSENBLATT M.D.
Allergy & Immunology
1513 LAKELAND DR, SUITE 101
JACKSON, MS 39216
Hinds County (601) 354-4836
MONICA ROBERTS LPC
Counselor (Professional)
1513 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 939-7990
KY'TIANIA KIARA HARMON
Behavior Technician
1513 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 352-7784
HANNAH HUNGERFORD
Behavior Technician
1513 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 939-7990
MRS. SHEA FOX HUTCHINS LCSW
Social Worker (Clinical)
1513 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 352-7784

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Stack's NPI number?

The NPI number for Michael Stack is 1013618065. It was assigned to this individual provider in the NPPES registry on March 16, 2023.

Where is Michael Stack located?

Michael Stack practices at 1513 Lakeland Dr, Jackson, MS 39216. The listed phone number is (769) 777-1000.

What is Michael Stack's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Michael Stack was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.