Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417575507 Individual Practitioner Female Practitioner

Stacy D Witherspoon

Behavior Technician • Stone Mountain, GA

Professional Overview & Biography Verified Profile Summary

Stacy Witherspoon is a registered healthcare professional specializing in Behavior Technician in Stone Mountain, GA. Practice services are available at 2300 W PARK PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2300 W Park Pl

Stone Mountain, GA 300876713

Telephone 6783301400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Stone Mountain, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
32 Specialists

Practicing in Stone Mountain, GA (12251 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: 2020-07-06
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Secondary Practice Locations

736 Deshon Creek Dr

Lithonia, GA 300582933

Phone: 6788918073

Practice Associates & Co-Workers

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

15 Associated Practitioners
Ellie Moody

Counselor - Addiction (Substance Use Disorder)

NPI 1053881755
NPI 1194312108
Jasheen Mizelle

Marriage & Family Therapist

NPI 1265029789
Statisha Perry

Counselor - Addiction (Substance Use Disorder)

NPI 1275003337
Donna Kemp , MED, NCC, LPC

Counselor - Professional

NPI 1437601424

Master of Education, National Certified Counselor, Licensed Professional Counselor

Carmella Gayle

Counselor - Mental Health

NPI 1528538246

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 06, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2020

Registered at 2300 W PARK PL, STONE MOUNTAIN, GA 300876713 (Tel: 6783301400)

📍
Updated Business Mailing Address July 06, 2020

Registered at 2300 W PARK PL STE 125, STONE MOUNTAIN, GA 300873561 (Tel: 6783301400)

👤
Provider Name / Credentials Updated July 06, 2020

Recorded as STACY WITHERSPOON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2020

Behavior Technician

🟢
Initial NPI Registration & Enumeration July 06, 2020

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: 1417575507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2020
Last Update: November 27, 2023
Sole Proprietor: Yes

Mailing Address

2300 W Park Pl Ste 125

Stone Mountain, GA 300873561

Phone: 6783301400

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.