Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. STACEY MARIE BOLTHOUSE
NPI 1992600415
Behavior Technician in Nicholson, PA

Active since October 13, 2026
234 SAVAGE RD, NICHOLSON, PA 18446(570) 396-9086 Get Directions Write a Review

NPPES record added: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Stacey Marie Bolthouse NPPES

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

DR. STACEY MARIE BOLTHOUSE (NPI 1992600415) is an individual behavior technician in Nicholson, Pennsylvania and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1992600415
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameDR. STACEY MARIE BOLTHOUSE
Location Address234 SAVAGE RDNicholson, PA 18446-8003
Mailing Address234 Savage RdNicholson, PA 18446-8003 · (570) 396-9086
Sole ProprietorNo
Enumeration DateOctober 13, 2026
NPPES CertifiedOctober 13, 2026
✔ NPI 1992600415 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.
234 SAVAGE RD, Nicholson, PA 18446

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 Bolthouse's NPI number?

The NPI number for Stacey Bolthouse is 1992600415. It was assigned to this individual provider in the NPPES registry on October 13, 2026.

Where is Stacey Bolthouse located?

Stacey Bolthouse practices at 234 Savage Rd, Nicholson, PA 18446. The listed phone number is (570) 396-9086.

What is Stacey Bolthouse'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 Bolthouse was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.