Michael Bryan Stack
Michael Bryan Stack is a Behavior Analyst in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2023.
- Licensed in
- MS
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
1513 Lakeland DrJackson, MS 39216-4829
Phone: (769) 777-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 1-25-85361 (MS) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X · Licence RBT-22-226002 (MS) |
Record details
| NPI number | 1013618065 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 16, 2023 |
| Last updated in NPPES | January 6, 2026 |
| Certification date | January 6, 2026 |
| Mailing address | 1606 Laurel St, Jackson, MS 39202-1243 |
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-
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Dr. Kimberly Palmer Ray, PHD, BCBA-D
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