NPI 1689134959 · live from the CMS NPI Registry
Stacy Agee, BCBA, LBA
Behavior Analyst in Cheboygan, MI. National Provider Identifier 1689134959, active.
NPI record
| NPI | 1689134959 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1115 E State St, Cheboygan, MI 49721 |
| Practice phone | 231-268-0007 |
| Mailing address | 421 W Lincoln Ave, Cheboygan, MI 49721 |
| Enumerated | March 22, 2019 |
| Last updated | February 2, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 7401002458 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.