Individual provider · Type 1 NPI

Stacey Ettiene

Behavior Analyst · Kansas City, MO

NPI number 1407635337 Active

Practice location

7280 NW 87th Ter Ste C-210
Kansas City, MO 64153-3720

Call (855) 284-6634 Map

Mailing address

1607 Sylvan Ln
Columbia, MO 65202-3607

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X2026022902 (MO)

Behavior Analyst: 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…

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About NPI 1407635337

Stacey Ettiene's National Provider Identifier is 1407635337, issued on Sep 28, 2023. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Kansas City, MO. The record was last updated on Sep 2, 2026.