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Stacy Ann Miceli

Behavior Analyst β€’ Brookfield, WI

Active NPI 1396335790 Individual Practitioner Female Practitioner
Practice location in NPPES

4125 N 124th St Ste Aandb
Brookfield, WI 530051837

Call 9208579041 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

4125 N 124th St Ste Aandb

Brookfield, WI 530051837

Telephone 9208579041
Fax 9208573366
Organization at the Same NPPES Address or Phone
Integrated Developmental Services, Inc Facility NPI 1528025954

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

NPI first issued

2021

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 Brookfield and Wisconsin

80 active clinicians are listed under Behavior Analyst with a practice address in Brookfield, WI (858 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Brookfield

0% of these 80 clinicians have the CMS telehealth indicator.

0% of these 80 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: 2025-07-25
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES WI 1-25-80340

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.

Behavior Technician

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: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location July 25, 2025

Registered at 4125 N 124TH ST STE AANDB, BROOKFIELD, WI 530051837 (Tel: 9208579041)

πŸ“
Updated Business Mailing Address July 25, 2025

Registered at 10554 W CORTEZ CIR APT 1, FRANKLIN, WI 531321517

βœ…
NPI Profile Active January 20, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 20, 2021

Registered at 200 N PATRICK BLVD STE 250, BROOKFIELD, WI 530455883 (Tel: 8887540398)

πŸ“
Business Mailing Address (Initial Record) January 20, 2021

Registered at 6847 N BRAEBURN LN, GLENDALE, WI 532092605

πŸ‘€
Provider Name / Credentials (Initial Record) January 20, 2021

Recorded as STACY MICELI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2021

Behavior Technician

🟒
Initial NPI Registration & Enumeration January 20, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396335790
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2021
Last Update: July 25, 2025
Sole Proprietor: Yes

Mailing Address

10554 W Cortez Cir Apt 1

Franklin, WI 531321517

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.