Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacey Kerwin

Individual provider Behavior Technician · NPI 1134786783

Stacey Kerwin is a Behavior Technician in Springfield, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3921 Pintail Dr
Springfield, IL 62711-6738
Phone: (815) 216-7983
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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 1-19-37132 (IL)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1134786783
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 20, 2019
Last updated in NPPESNovember 28, 2024
Certification dateNovember 28, 2024
Mailing address3921 Pintail Dr, Springfield, IL 62711-6738

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