Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013618065 Individual Practitioner Male Practitioner

Michael Bryan Stack

Behavior Analyst • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Michael Stack is a registered healthcare professional specializing in Behavior Analyst in Jackson, MS. Practice services are available at 1513 LAKELAND DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1513 Lakeland Dr

Jackson, MS 392164829

Telephone 7697771000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Jackson, MS

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

Practicing in Jackson, MS (198 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: 2026-01-06
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MS 1-25-85361

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

State License MS RBT-22-226002

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.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Robert Cauthen

Counselor - Mental Health

NPI 1003375197
Gail Chancellor , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043691074

Nurse Practitioner

Kimberly Culley , LPC

Counselor - Professional

NPI 1306311279

Licensed Professional Counselor

Mikayla Lenoir

Behavior Technician

NPI 1396446290
Kiara Bass

Counselor - Mental Health

NPI 1629638127
Jyesha Marshall

Behavior Technician

NPI 1740981679

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2026

Behavior Analyst (License #1-25-85361 in MS)

NPI Profile Active March 16, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2023

Registered at 1513 LAKELAND DR, JACKSON, MS 392164829 (Tel: 7697771000)

📍
Updated Business Mailing Address March 16, 2023

Registered at 1606 LAUREL ST, JACKSON, MS 392021243 (Tel: 6019424089)

👤
Provider Name / Credentials Updated March 16, 2023

Recorded as MICHAEL STACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2023

Behavior Technician (License #RBT-22-226002 in MS)

🟢
Initial NPI Registration & Enumeration March 16, 2023

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: 1013618065
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2023
Last Update: January 06, 2026
Sole Proprietor: No

Mailing Address

1606 Laurel St

Jackson, MS 392021243

Phone: 6019424089

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.