STACY D WITHERSPOON
NPI 1417575507
Behavior Technician in Stone Mountain, GA

Active since July 06, 2020
2300 W PARK PL, STONE MOUNTAIN, GA 30087(678) 330-1400 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacy D Witherspoon NPPES

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

STACY D WITHERSPOON (NPI 1417575507) is an individual behavior technician in Stone Mountain, Georgia and active in the NPI registry since July 2020. She maintains a secondary practice location in Lithonia.

NPPES Registry Identity

NPI1417575507
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSTACY D WITHERSPOON
Location Address2300 W PARK PLStone Mountain, GA 30087-6713
Mailing Address2300 W Park Pl Ste 125Stone Mountain, GA 30087-3561 · (678) 330-1400
Sole ProprietorYes
Enumeration DateJuly 6, 2020
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedJuly 6, 2020
NPI 1417575507 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.
2300 W PARK PL, Stone Mountain, GA 30087

Secondary Practice Location 1

Location 1736 Deshon Creek DrLithonia, GA 30058-2933 · Phone (678) 891-8073

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
2300 W PARK PL
STONE MOUNTAIN, GA 30087
Counselor (Professional)
2300 W PARK PL
STONE MOUNTAIN, GA 30087

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 Stacy Witherspoon's NPI number?

The NPI number for Stacy Witherspoon is 1417575507. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Stacy Witherspoon located?

Stacy Witherspoon practices at 2300 W Park Pl, Stone Mountain, GA 30087. The listed phone number is (678) 330-1400.

What is Stacy Witherspoon's specialty?

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

When was this NPI record last updated?

The NPPES record for Stacy Witherspoon was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.