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Stacy Shepherd

Behavior Technician β€’ Bakersfield, CA

Active NPI 1558871574 Individual Practitioner Female Practitioner
Practice location in NPPES

5080 California Ave Ste 250
Bakersfield, CA 933090732

Call 6612583240 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

5080 California Ave Ste 250

Bakersfield, CA 933090732

Telephone 6612583240
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Westlake Village, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

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 Bakersfield and California

1,678 active clinicians are listed under Behavior Technician with a practice address in Bakersfield, CA (171,692 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bakersfield

0% of these 1,678 clinicians have the CMS telehealth indicator.

0% of these 1,678 clinicians are listed by CMS as accepting Medicare assignment.

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: 2023-07-03
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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.

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: Medical Board of California.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier The Holman Group
45-3589857

Secondary Practice Locations

31344 Via Colinas Ste 108

Westlake Village, CA 913626797

Phone: 8053793212

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location July 03, 2023

Registered at 5080 CALIFORNIA AVE STE 250, BAKERSFIELD, CA 933090732 (Tel: 6612583240)

πŸ“
Updated Business Mailing Address July 03, 2023

Registered at 5080 CALIFORNIA AVE STE 250, BAKERSFIELD, CA 933090732 (Tel: 6612583240)

πŸ‘€
Provider Name / Credentials Updated July 03, 2023

Recorded as STACY SHEPHERD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2023

Behavior Technician

βœ…
NPI Profile Active October 04, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 04, 2017

Registered at 31344 VIA COLINAS STE 108, WESTLAKE VILLAGE, CA 913626797 (Tel: 8053793212)

πŸ“
Business Mailing Address (Initial Record) October 04, 2017

Registered at 31344 VIA COLINAS STE 108, WESTLAKE VILLAGE, CA 913626797 (Tel: 8053793212)

πŸ‘€
Provider Name / Credentials (Initial Record) October 04, 2017

Recorded as STACY SHEPHERD, BA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2017

Behavior Analyst

🟒
Initial NPI Registration & Enumeration October 04, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558871574
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2017
Last Update: July 03, 2023
Sole Proprietor: Yes

Mailing Address

5080 California Ave Ste 250

Bakersfield, CA 933090732

Phone: 6612583240

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.