STACY SCISSOM
NPI 1174475842
Behavior Technician in Phoenix, AZ

Q: What is Stacy Scissom's NPI number?

The NPI number for Stacy Scissom is 1174475842. It was assigned to this individual provider in the NPPES registry on February 13, 2026.

Q: What is Stacy Scissom's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Scissom was last updated on February 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 13, 2026

4439 N 7TH ST, PHOENIX, AZ 85014(855) 223-7123(619) 374-7134 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Stacy Scissom NPPES

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

STACY SCISSOM (NPI 1174475842) is an individual behavior technician in Phoenix, Arizona and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1174475842

Entity TypeIndividualFemale

Primary Taxonomy106S00000X

Provider Legal NameSTACY SCISSOM

Location Address4439 N 7TH STPhoenix, AZ 85014-4139

Mailing AddressPo Box 740780Atlanta, GA 30374-0780 · (855) 223-7123 · Fax (619) 374-7134

Phone(855) 223-7123

Fax(619) 374-7134

Sole ProprietorNo

Enumeration DateFebruary 13, 2026

NPPES CertifiedFebruary 13, 2026

✔ NPI 1174475842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers

Taxonomy Code106S00000X

Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

4439 N 7TH ST, Phoenix, AZ 85014

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