Individual provider · Type 1 NPI

Stacy D. Witherspoon

Behavior Technician · Stone Mountain, GA

NPI number 1417575507 Active

Practice location

2300 W Park Pl
Stone Mountain, GA 30087-6713

Call (678) 330-1400 Map

Mailing address

2300 W Park Pl Ste 125
Stone Mountain, GA 30087-3561

Other practice locations

736 Deshon Creek Dr, Lithonia, GA 30058-2933 · (678) 891-8073

Specialties and licenses

Taxonomy	Code	License
Behavior Technician Primary	106S00000X	None 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 1417575507

Stacy D. Witherspoon's National Provider Identifier is 1417575507, issued on Jul 6, 2020. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Stone Mountain, GA. The record was last updated on Nov 27, 2023.