DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACEY LYNN SMALL, M.S., BCBA, QMHP

Active

STACEY LYNN SMALL, M.S., BCBA, QMHP is a Behavior Analyst healthcare provider located in WEST FRANKFORT, Illinois. NPI 1407285604 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · WEST FRANKFORT, IL

Registration Details

NPI Number
1407285604
Provider Type
Individual
Gender
Female
NPI Issued
Nov 7, 2013 (12.740483162996 yrs)
Last Updated
Nov 7, 2013
License
1-13-12970 (IL)

Practice Information

Address
902 W MAIN ST
C/O STACEY L. SMALL
WEST FRANKFORT, IL, 628962210
Browse IL providers · Browse ZIP 62896
Phone
6182016061
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in WEST FRANKFORT, IL

Name Credential NPI
KAYLA DIANE WAGNER M.S., BCBA 1730654922
DANIEL RAY GRISHAM 1891261871
ALEXANDER JENKINS MS BCBA 1902510803
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.