Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124681572 Individual Practitioner Female Practitioner

Stacey Calderon

Behavior Analyst • Douglas, AZ

Professional Overview & Biography Verified Profile Summary

Stacey Calderon is a registered healthcare professional specializing in Behavior Analyst in Douglas, AZ. Practice services are available at 530 E 11TH ST UNIT 5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

530 E 11th St Unit 5

Douglas, AZ 856072014

Telephone 7143939136

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Douglas, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Douglas, AZ (1778 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-10
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License AZ 1-23-65872

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Alexis Martinez

Behavior Analyst

NPI 1770474330

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Business Mailing Address September 10, 2025

Registered at 125 BAKER ST UNIT 311, COSTA MESA, CA 926264572 (Tel: 7143939136)

👤
Provider Name / Credentials Updated September 10, 2025

Recorded as STACEY CALDERON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2025

Behavior Analyst (License #1-23-65872 in AZ)

📍
Updated Practice Location November 12, 2024

Registered at 530 E 11TH ST UNIT 5, DOUGLAS, AZ 856072014 (Tel: 7143939136)

📍
Updated Business Mailing Address November 12, 2024

Registered at 16780 W CAMERON DR, SURPRISE, AZ 853883340 (Tel: 7143939136)

📍
Updated Practice Location April 10, 2024

Registered at 1100 W TOWN AND COUNTRY RD STE 1250, ORANGE, CA 928684633 (Tel: 7143939136)

📍
Updated Business Mailing Address April 10, 2024

Registered at 16235 W CORTEZ ST, SURPRISE, AZ 853791195 (Tel: 7143939136)

👤
Provider Name / Credentials Updated April 10, 2024

Recorded as STACEY MELLON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2024

Behavior Analyst (License #1-23-65782 in AZ)

📍
Updated Practice Location September 14, 2023

Registered at 1820 W ORANGEWOOD AVE STE 110, ORANGE, CA 928685056 (Tel: 7146962862)

📍
Updated Business Mailing Address September 14, 2023

Registered at 1820 W ORANGEWOOD AVE STE 110, ORANGE, CA 928685056 (Tel: 7146962862)

NPI Profile Active April 20, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2019

Registered at 2400 E KATELLA AVE STE 800, ANAHEIM, CA 928065955 (Tel: 7148583590)

📍
Updated Business Mailing Address April 20, 2019

Registered at 2400 E KATELLA AVE STE 800, ANAHEIM, CA 928065955 (Tel: 7148583590)

👤
Provider Name / Credentials Updated April 20, 2019

Recorded as STACEY RODRIGUEZ- CALDERON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2019

Technician, Other

🟢
Initial NPI Registration & Enumeration April 20, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1124681572
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2019
Last Update: September 10, 2025
Sole Proprietor: No

Mailing Address

125 Baker St Unit 311

Costa Mesa, CA 926264572

Phone: 7143939136

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.