Individual provider · Type 1 NPI

Stacy Scissom

Behavior Technician · Phoenix, AZ

NPI number 1174475842 Active

Practice location

4439 N 7th St
Phoenix, AZ 85014-4139

Call (855) 223-7123 Map

Fax (619) 374-7134

Mailing address

PO Box 740780
Atlanta, GA 30374-0780

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: 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…

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About NPI 1174475842

Stacy Scissom's National Provider Identifier is 1174475842, issued on Feb 13, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 13, 2026.