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Phillip Stacy, CDCA
Behavior Technician in Mansfield, Ohio
NPI 1740787886

Phillip Stacy is a Behavior Technician based in Mansfield, OH. Phillip Stacy practices in Mansfield, OH and has the professional credentials of CDCA. The NPI Number for Phillip Stacy is 1740787886 and holds a License No. (Ohio).

The current practice location address for Phillip Stacy is 741 Scholl Rd, Mansfield, OH and can be reached out via phone at 419-756-1717. You can also correspond with Phillip Stacy through the mailing address at 741 SCHOLL RD, MANSFIELD, OH - 44907-1571 (mailing address contact number: 419-756-1717).

Location: 741 Scholl Rd, Mansfield, OH, 44907-1571
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740787886
Provider Name
Phillip Stacy
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
741 Scholl Rd, Mansfield, OH, 44907-1571
Phone Number
419-756-1717
Fax Number
Provider Enumeration Date
04/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
741 Scholl Rd
City
Mansfield
State
Ohio
Zip
44907-1571
Phone Number
419-756-1717
Fax Number
person
Provider Business Mailing Address Details
Address
741 Scholl Rd
City
Mansfield
State
Ohio
Zip
44907-1571
Phone Number
419-756-1717
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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