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Stacy Landry

Behavior Analyst β€’ Kissimmee, FL

Active NPI 1164748885 Individual Practitioner Female Practitioner
Practice location in NPPES

3028 Parkway Blvd Apt 105
Kissimmee, FL 347474542

Call 9545941850 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

3028 Parkway Blvd Apt 105

Kissimmee, FL 347474542

Telephone 9545941850
Organization at the Same NPPES Address or Phone
Therapy Ever After Facility NPI 1952948275

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2010

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 Kissimmee and Florida

114 active clinicians are listed under Behavior Analyst with a practice address in Kissimmee, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kissimmee

0% of these 114 clinicians have the CMS telehealth indicator.

0% of these 114 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: 2022-02-08
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

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: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

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

14 Historical Events
πŸ“
Updated Practice Location February 08, 2022

Registered at 3028 PARKWAY BLVD APT 105, KISSIMMEE, FL 347474542 (Tel: 9545941850)

πŸ“
Updated Business Mailing Address February 08, 2022

Registered at 3028 PARKWAY BLVD APT 105, KISSIMMEE, FL 347474542 (Tel: 9545941850)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2022

Developmental Therapist

πŸ“
Updated Practice Location October 23, 2019

Registered at 4160 OCEANSIDE ST, NORTH PORT, FL 342862014 (Tel: 8635292183)

πŸ“
Updated Business Mailing Address October 23, 2019

Registered at 4160 OCEANSIDE ST, NORTH PORT, FL 342862014 (Tel: 8635292183)

πŸ“
Updated Practice Location February 19, 2019

Registered at 3659 VICTORIA MANOR DR APT 212, LAKELAND, FL 338050003 (Tel: 9545941850)

πŸ“
Updated Business Mailing Address February 19, 2019

Registered at 3659 VICTORIA MANOR DR APT 212, LAKELAND, FL 338050003 (Tel: 9545941850)

πŸ‘€
Provider Name / Credentials Updated February 19, 2019

Recorded as STACY LANDRY

βœ…
NPI Profile Active April 20, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 20, 2010

Registered at 594 RIVERSIDE DR, CORAL SPRINGS, FL 330717615 (Tel: 9543446550)

πŸ“
Business Mailing Address (Initial Record) April 20, 2010

Registered at 122 MENORES AVE APT 4, CORAL GABLES, FL 331344021 (Tel: 3053974986)

πŸ‘€
Provider Name / Credentials (Initial Record) April 20, 2010

Recorded as STACY LEETS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2010

Behavior Analyst

🟒
Initial NPI Registration & Enumeration April 20, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164748885
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2010
Last Update: February 08, 2022
Sole Proprietor: Yes

Mailing Address

3028 Parkway Blvd Apt 105

Kissimmee, FL 347474542

Phone: 9545941850

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.