Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013552694 Individual Practitioner Female Practitioner

Stacie Graham , BCBA

Behavior Analyst • Ludowici, GA

Professional Overview & Biography Verified Profile Summary

Stacie Graham, BCBA is a registered healthcare professional specializing in Behavior Analyst in Ludowici, GA. Practice services are available at 117 CASTAWAY CT NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

117 Castaway Ct Ne

Ludowici, GA 313166294

Telephone 7194601129
Associated Practice Facility / Clinic
🏢 Kindleaf Aba Therapy Llc Facility NPI 1629930888

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Ludowici, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Ludowici, GA (2715 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: 2025-01-20
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License GA 1-24-78469

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.

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 20, 2025

Registered at 117 CASTAWAY CT NE, LUDOWICI, GA 313166294 (Tel: 7194601129)

📍
Updated Business Mailing Address January 20, 2025

Registered at 117 CASTAWAY CT NE, LUDOWICI, GA 313166294 (Tel: 7194601129)

👤
Provider Name / Credentials Updated January 20, 2025

Recorded as STACIE GRAHAM, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2025

Behavior Analyst (License #1-24-78469 in GA)

NPI Profile Active November 07, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2019

Registered at 1330 QUAIL LAKE LOOP STE 120, COLORADO SPRINGS, CO 809064651 (Tel: 7195402138)

📍
Updated Business Mailing Address November 07, 2019

Registered at 1330 QUAIL LAKE LOOP STE 120, COLORADO SPRINGS, CO 809064651 (Tel: 7195402138)

👤
Provider Name / Credentials Updated November 07, 2019

Recorded as STACIE GRAHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration November 07, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013552694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2019
Last Update: January 20, 2025
Sole Proprietor: No

Mailing Address

117 Castaway Ct Ne

Ludowici, GA 313166294

Phone: 7194601129

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.