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STACIE MARIE DIZZLEY-STREETER
NPI 1194274761
Behavior Analyst in Moncks Corner, SC

Active since September 23, 2016
194 CYPRESS FOREST DR, MONCKS CORNER, SC 29461(803) 459-8022(615) 577-5654 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2023, Feb 9, 2022, Jan 17, 2020 and 3 more (6 updates tracked since 2016).

About Stacie Marie Dizzley-streeter NPPES

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

STACIE MARIE DIZZLEY-STREETER (NPI 1194274761) is an individual behavior analyst provider in Moncks Corner, South Carolina, licensed in North Carolina (1-17-27316) and active in the NPI registry since September 2016. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194274761
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameSTACIE MARIE DIZZLEY-STREETER
Location Address194 CYPRESS FOREST DRMoncks Corner, SC 29461-8441
Mailing Address194 Cypress Forest DrMoncks Corner, SC 29461-8441 · (803) 459-8022 · Fax (615) 577-5654
Phone(803) 459-8022
Fax(615) 577-5654
Sole ProprietorYes
Enumeration DateSeptember 23, 2016
Last NPPES UpdateJanuary 25, 20236 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1194274761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in NC · 1-17-27316
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.
194 CYPRESS FOREST DR, Moncks Corner, SC 29461
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Secondary Practice Locations 2

Location 1170 Meeting StCharleston, SC 29401-3153 · Phone (855) 832-6727 · Fax (615) 577-5654
Location 21018 N Bragg BlvdSpring Lake, NC 28390-3316 · Phone (910) 295-2609

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC and more.Insurance ›

Other Providers at the Same Location NPPES

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

SDS BEHAVIORAL CONSULTING LLC
Behavior Analyst
194 CYPRESS FOREST DR
MONCKS CORNER, SC 29461
Berkeley County (803) 459-8022

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 Stacie Dizzley-streeter's NPI number?

The NPI number for Stacie Dizzley-streeter is 1194274761. It was assigned to this individual provider in the NPPES registry on September 23, 2016.

Where is Stacie Dizzley-streeter located?

Stacie Dizzley-streeter practices at 194 Cypress Forest Dr, Moncks Corner, SC 29461. The listed phone number is (803) 459-8022.

What is Stacie Dizzley-streeter's specialty?

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

What insurance does Stacie Dizzley-streeter accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina and Molina Healthcare and 3 other insurers list Stacie Dizzley-streeter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacie Dizzley-streeter was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.