STACY BOWDISH MA
NPI 1689145401
Behavior Analyst in Santa Rosa, CA

Q: What is Stacy Bowdish's NPI number?

The NPI number for Stacy Bowdish is 1689145401. It was assigned to this individual provider in the NPPES registry on December 6, 2018.

Q: What is Stacy Bowdish's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Bowdish was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 06, 2018

1335 N DUTTON AVE, SANTA ROSA, CA 95401(855) 223-7123 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2020, Oct 22, 2020, Dec 6, 2018 (3 updates tracked since 2018).

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About Stacy Bowdish Ma NPPES

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

STACY BOWDISH MA (NPI 1689145401) is an individual behavior analyst provider in Santa Rosa, California, licensed in California (1-19-40103) and active in the NPI registry since December 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689145401

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameSTACY BOWDISHCredential: MA

Location Address1335 N DUTTON AVESanta Rosa, CA 95401-4609

Mailing Address16782 Von Karman Ave Ste 11Irvine, CA 92606-2417 · (855) 223-7123 · Fax (619) 374-7134

Phone(855) 223-7123

Sole ProprietorNo

Enumeration DateDecember 6, 2018

Last NPPES UpdateNovember 3, 20203 updates tracked since enumeration

NPPES CertifiedNovember 3, 2020

✔ NPI 1689145401 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 CA · 1-19-40103

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.

1335 N DUTTON AVE, Santa Rosa, CA 95401

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Secondary Practice Locations 2

Location 12800 Stonecreek DrSacramento, CA 95833-1634 · Phone (916) 363-6103 · Fax (916) 244-0594

Location 29755 Lincoln Village DrSacramento, CA 95827-3334 · Phone (916) 363-6103 · Fax (916) 244-0594

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.

THERESE TICZON

Behavior Technician