STACEY KATHLEEN REYNOLDS
NPI 1972299501
Behavior Technician in Tucson, AZ

Active since April 17, 2023
4650 E 16TH ST, TUCSON, AZ 85711(520) 499-8945 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2024, Sep 4, 2024 (2 updates tracked since 2024).

About Stacey Kathleen Reynolds NPPES

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

STACEY KATHLEEN REYNOLDS (NPI 1972299501) is an individual behavior technician in Tucson, Arizona and active in the NPI registry since April 2023. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972299501
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSTACEY KATHLEEN REYNOLDS
Location Address4650 E 16TH STTucson, AZ 85711-4232
Mailing Address4650 E 16th StTucson, AZ 85711-4232 · (520) 499-8945
Sole ProprietorNo
Enumeration DateApril 17, 2023
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
NPI 1972299501 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.
4650 E 16TH ST, Tucson, AZ 85711

Other Names 1

Former Name (1)Stacey Kathleen Wilson

Secondary Practice Locations 2

Location 1GreenLight ABA AZ, LLC, 6700 E. Speedway Blvd, Ste 401Tucson, AZ 85710 · Phone (877) 881-3090
Location 2Centria Healthcare Llc, 27777 Inkster Rd Ste. 100Farmington Hills, MI 48334-5310 · Phone (248) 436-4400

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 Reynolds's NPI number?

The NPI number for Stacey Reynolds is 1972299501. It was assigned to this individual provider in the NPPES registry on April 17, 2023. The provider is also known as Stacey Kathleen Wilson.

Where is Stacey Reynolds located?

Stacey Reynolds practices at 4650 E 16th St, Tucson, AZ 85711. The listed phone number is (520) 499-8945.

What is Stacey Reynolds'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 Stacey Reynolds was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.