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Mira Nicole Stallings , MS, BCBA

Behavior Analyst β€’ Augusta, GA

Active NPI 1619386703 Individual Practitioner Female Practitioner
Practice location in NPPES

3633 Wheeler Rd Ste 320
Augusta, GA 309096552

Call 7066914729 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

3633 Wheeler Rd Ste 320

Augusta, GA 309096552

Telephone 7066914729
Organization at the Same NPPES Address or Phone
Abascape Llc Facility NPI 1740953140

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Thomson, GA. 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

2014

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 Augusta and Georgia

47 active clinicians are listed under Behavior Analyst with a practice address in Augusta, GA (2,711 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Augusta

0% of these 47 clinicians have the CMS telehealth indicator.

0% of these 47 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: 2023-06-14
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.

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: Georgia Composite Medical Board.
Look Up on State Board Site

Secondary Practice Locations

2171 Foster Sprouse Rd

Thomson, GA 308246918

Phone: 7066914729

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 June 14, 2023

Registered at 3633 WHEELER RD STE 320, AUGUSTA, GA 309096552 (Tel: 7066914729)

πŸ“
Updated Practice Location July 30, 2021

Registered at 2171 FOSTER SPROUSE RD, THOMSON, GA 308246918 (Tel: 7066914729)

πŸ“
Updated Business Mailing Address July 30, 2021

Registered at 2171 FOSTER SPROUSE RD, THOMSON, GA 308246918 (Tel: 7066914729)

βœ…
NPI Profile Active April 18, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location April 18, 2017

Registered at 3727 EXECUTIVE CENTER DR, AUGUSTA, GA 309072398 (Tel: 7068425330)

πŸ“
Updated Business Mailing Address April 18, 2017

Registered at 3727 EXECUTIVE CENTER DR, AUGUSTA, GA 309072398 (Tel: 7068425330)

πŸ‘€
Provider Name / Credentials Updated April 18, 2017

Recorded as MIRA STALLINGS, MS, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2017

Behavior Analyst

βœ…
NPI Profile Active August 04, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 04, 2014

Registered at 500 FAIRWAY DR, STE. 102, DEERFIELD BEACH, FL 334411814 (Tel: 8888809270)

πŸ“
Business Mailing Address (Initial Record) August 04, 2014

Registered at 500 FAIRWAY DR, STE. 102, DEERFIELD BEACH, FL 334411814 (Tel: 8888809270)

πŸ‘€
Provider Name / Credentials (Initial Record) August 04, 2014

Recorded as MIRA STALLINGS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2014

Developmental Therapist

🟒
Initial NPI Registration & Enumeration August 04, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619386703
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2014
Last Update: June 14, 2023
Sole Proprietor: No

Mailing Address

2171 Foster Sprouse Rd

Thomson, GA 308246918

Phone: 7066914729

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.