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

Stacy Ann Miceli

Individual provider Behavior Technician · NPI 1396335790

Stacy Ann Miceli is a Behavior Technician in Brookfield, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

4125 N 124th St Ste Aandb
Brookfield, WI 53005-1837
Phone: (920) 857-9041
Fax: (920) 857-3366
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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 1-25-80340 (WI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1396335790
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 20, 2021
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address10554 W Cortez Cir Apt 1, Franklin, WI 53132-1517

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