Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992067755 Individual Practitioner Female Practitioner

Stacy Ann Samuels , MSED

Behavior Analyst • Dekalb, IL

Professional Overview & Biography Verified Profile Summary

Stacy Ann Samuels, MSED is a registered healthcare professional specializing in Behavior Analyst in Dekalb, IL. Practice services are available at 8 EVERGREEN CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8 Evergreen Cir

Dekalb, IL 601152214

Telephone 7732174907
Associated Practice Facility / Clinic
🏢 Pyramid Behavioral Health Inc Facility NPI 1083281851

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Dekalb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
9 Specialists

Practicing in Dekalb, IL (3105 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: 2022-10-14
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License NY 134293071

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Practice Locations

4024 Amboy Rd

Staten Island, NY 103082409

Phone: 7186050642

Practice Associates & Co-Workers

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

2 Associated Practitioners
Carmen Nelson

Behavior Analyst

NPI 1104593110
Vanessa Cook

Behavior Analyst

NPI 1497379432

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location October 14, 2022

Registered at 8 EVERGREEN CIR, DEKALB, IL 601152214 (Tel: 7732174907)

NPI Profile Active June 07, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2012

Registered at 4024 AMBOY RD, STATEN ISLAND, NY 103082409 (Tel: 7186050642)

📍
Updated Business Mailing Address June 07, 2012

Registered at 5 METROPOLITAN OVAL, #3F, BRONX, NY 104626523 (Tel: 7188223873)

👤
Provider Name / Credentials Updated June 07, 2012

Recorded as STACY ANN SAMUELS, MSED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2012

Specialist (License #134293071 in NY)

🟢
Initial NPI Registration & Enumeration June 07, 2012

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: 1992067755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2012
Last Update: October 14, 2022
Sole Proprietor: No

Mailing Address

5 Metropolitan Oval, #3f

Bronx, NY 104626523

Phone: 7188223873

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.