Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACEY ETTIENE
NPI 1407635337
Behavior Analyst in Kansas City, MO

Active since September 28, 2023
7280 NW 87TH TER STE C-210, KANSAS CITY, MO 64153(855) 284-6634 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Stacey Ettiene NPPES

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

STACEY ETTIENE (NPI 1407635337) is an individual behavior analyst provider in Kansas City, Missouri, licensed in Missouri (2026022902) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1407635337
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameSTACEY ETTIENE
Location Address7280 NW 87TH TER STE C-210Kansas City, MO 64153-3720
Mailing Address1607 Sylvan LnColumbia, MO 65202-3607
Sole ProprietorNo
Enumeration DateSeptember 28, 2023
Last NPPES UpdateSeptember 2, 2026
NPPES CertifiedSeptember 2, 2026
NPI 1407635337 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 MO · 2026022902
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.
7280 NW 87TH TER STE C-210, Kansas City, MO 64153

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.

Assistant Behavior Analyst
7280 NW 87TH TER STE C-210
KANSAS CITY, MO 64153
In Home Supportive Care
7280 NW 87TH TER STE C-210
KANSAS CITY, MO 64153
Behavior Analyst
7280 NW 87TH TER STE C-210
KANSAS CITY, MO 64153
Behavior Analyst
7280 NW 87TH TER STE C-210
KANSAS CITY, MO 64153
Social Worker (Clinical)
7280 NW 87TH TER STE C-210
KANSAS CITY, MO 64153
Social Worker (Clinical)
7280 NW 87TH TER STE C-210
KANSAS CITY, MO 64153
Behavior Technician
7280 NW 87TH TER STE C-210
KANSAS CITY, MO 64153
Durable Medical Equipment & Medical Supplies
7280 NW 87TH TER STE C-210
KANSAS CITY, MO 64153

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 Stacey Ettiene's NPI number?

The NPI number for Stacey Ettiene is 1407635337. It was assigned to this individual provider in the NPPES registry on September 28, 2023.

Where is Stacey Ettiene located?

Stacey Ettiene practices at 7280 NW 87th Ter Ste C-210, Kansas City, MO 64153. The listed phone number is (855) 284-6634.

What is Stacey Ettiene'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 Stacey Ettiene was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.