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

Stacy Ann Samuels, MSED

Individual provider Specialist · NPI 1992067755

Stacy Ann Samuels, MSED is a Specialist in Dekalb, Illinois. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2012
Specialties on file
2

Practice location Address checks out

8 Evergreen Cir
Dekalb, IL 60115-2214
Phone: (773) 217-4907
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4024 Amboy Rd, Staten Island, NY 10308-2409 — (718) 605-0642

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Specialist Taxonomy 174400000X · Licence 134293071 (NY)

Record details

NPI number1992067755
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorNo
NPI enumeratedJune 7, 2012
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022
Mailing address5 Metropolitan Oval, 3f, Bronx, NY 10462-6523

Other providers in Dekalb