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Stacey Calderon

Behavior Analyst β€’ Douglas, AZ

Active NPI 1124681572 Individual Practitioner Female Practitioner
Practice location in NPPES

530 E 11th St Unit 5
Douglas, AZ 856072014

Call 7143939136 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

530 E 11th St Unit 5

Douglas, AZ 856072014

Telephone 7143939136

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Douglas and Arizona

3 active clinicians are listed under Behavior Analyst with a practice address in Douglas, AZ (1,775 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-10
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES AZ 1-23-65872

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

17 Historical Events
πŸ“
Updated Business Mailing Address September 10, 2025

Registered at 125 BAKER ST UNIT 311, COSTA MESA, CA 926264572 (Tel: 7143939136)

πŸ‘€
Provider Name / Credentials Updated September 10, 2025

Recorded as STACEY CALDERON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2025

Behavior Analyst (license number reported to NPPES: AZ 1-23-65872)

πŸ“
Updated Practice Location November 12, 2024

Registered at 530 E 11TH ST UNIT 5, DOUGLAS, AZ 856072014 (Tel: 7143939136)

πŸ“
Updated Business Mailing Address November 12, 2024

Registered at 16780 W CAMERON DR, SURPRISE, AZ 853883340 (Tel: 7143939136)

πŸ“
Updated Practice Location April 10, 2024

Registered at 1100 W TOWN AND COUNTRY RD STE 1250, ORANGE, CA 928684633 (Tel: 7143939136)

πŸ“
Updated Business Mailing Address April 10, 2024

Registered at 16235 W CORTEZ ST, SURPRISE, AZ 853791195 (Tel: 7143939136)

πŸ‘€
Provider Name / Credentials Updated April 10, 2024

Recorded as STACEY MELLON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2024

Behavior Analyst (license number reported to NPPES: AZ 1-23-65782)

πŸ“
Updated Practice Location September 14, 2023

Registered at 1820 W ORANGEWOOD AVE STE 110, ORANGE, CA 928685056 (Tel: 7146962862)

πŸ“
Updated Business Mailing Address September 14, 2023

Registered at 1820 W ORANGEWOOD AVE STE 110, ORANGE, CA 928685056 (Tel: 7146962862)

βœ…
NPI Profile Active April 20, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 20, 2019

Registered at 2400 E KATELLA AVE STE 800, ANAHEIM, CA 928065955 (Tel: 7148583590)

πŸ“
Business Mailing Address (Initial Record) April 20, 2019

Registered at 2400 E KATELLA AVE STE 800, ANAHEIM, CA 928065955 (Tel: 7148583590)

πŸ‘€
Provider Name / Credentials (Initial Record) April 20, 2019

Recorded as STACEY RODRIGUEZ- CALDERON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2019

Technician, Other

🟒
Initial NPI Registration & Enumeration April 20, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124681572
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2019
Last Update: September 10, 2025
Sole Proprietor: No

Mailing Address

125 Baker St Unit 311

Costa Mesa, CA 926264572

Phone: 7143939136

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.