IndividualActive
Stacy Witherspoon
NPI 1417575507 · Behavior Technician · Stone Mountain, GA
Stacy Witherspoon is a Behavior Technician provider in Stone Mountain, GA (NPI 1417575507).
Provider details
- NPI number
- 1417575507
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2300 W Park Pl
Stone Mountain, GA 30087-6713
Phone: (678) 330-1400
Street-level locationGet directions
Mailing address
2300 W Park Pl Ste 125
Stone Mountain, GA 30087-3561
Additional practice locations (1)
- 736 Deshon Creek DrLithonia, GA 30058-2933Phone: (678) 891-8073
Registry dates
- Enumerated
- 2020-07-06
- Last updated
- 2023-11-27
- Certified
- 2020-07-06
Frequently asked questions
- What is Stacy Witherspoon's NPI number?
- Stacy Witherspoon's National Provider Identifier (NPI) is 1417575507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Witherspoon's specialty?
- Stacy Witherspoon is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Stacy Witherspoon located?
- Stacy Witherspoon's practice location on file with NPPES is 2300 W Park Pl, Stone Mountain, GA 30087-6713.
- What is Stacy Witherspoon's phone number?
- The practice phone number listed in the NPPES registry for Stacy Witherspoon is (678) 330-1400.
- Is Stacy Witherspoon's NPI active?
- Yes — Stacy Witherspoon's NPI (1417575507) is active in the NPPES registry as of the last update on 2023-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.