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STACY ANN SAMUELS MSED
NPI 1992067755
Behavior Analyst in Dekalb, IL

Active since June 07, 2012
8 EVERGREEN CIR, DEKALB, IL 60115(773) 217-4907 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy Ann Samuels Msed NPPES

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

STACY ANN SAMUELS MSED (NPI 1992067755) is an individual behavior analyst provider in Dekalb, Illinois and active in the NPI registry since June 2012. She maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1992067755
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameSTACY ANN SAMUELSCredential: MSED
Location Address8 EVERGREEN CIRDekalb, IL 60115-2214
Mailing Address5 Metropolitan Oval, #3fBronx, NY 10462-6523 · (718) 822-3873
Phone(773) 217-4907
Sole ProprietorNo
Enumeration DateJune 7, 2012
Last NPPES UpdateOctober 14, 2022
NPPES CertifiedOctober 14, 2022
✔ NPI 1992067755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
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.
Also ListedSpecialistTaxonomy 174400000X · License 134293071 (NY)
8 EVERGREEN CIR, Dekalb, IL 60115
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Secondary Practice Location 1

Location 14024 Amboy RdStaten Island, NY 10308-2409 · Phone (718) 605-0642

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.

PYRAMID BEHAVIORAL HEALTH INC
Behavior Analyst
8 EVERGREEN CIR
DEKALB, IL 60115
Dekalb County (773) 217-4907
CARMEN NELSON
Behavior Analyst
8 EVERGREEN CIR
DEKALB, IL 60115
Dekalb County (773) 217-4907

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 Ann Samuels's NPI number?

The NPI number for Stacy Ann Samuels is 1992067755. It was assigned to this individual provider in the NPPES registry on June 7, 2012.

Where is Stacy Ann Samuels located?

Stacy Ann Samuels practices at 8 Evergreen Cir, Dekalb, IL 60115. The listed phone number is (773) 217-4907.

What is Stacy Ann Samuels'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 Stacy Ann Samuels was last updated on October 14, 2022. 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.