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

Stacy D Witherspoon

Individual provider Behavior Technician · NPI 1417575507

Stacy D Witherspoon is a Behavior Technician in Stone Mountain, Georgia. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

2300 W Park Pl
Stone Mountain, GA 30087-6713
Phone: (678) 330-1400
Show map & directions

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

Additional practice locations (1)

  • 736 Deshon Creek Dr, Lithonia, GA 30058-2933 — (678) 891-8073

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1417575507
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 6, 2020
Last updated in NPPESNovember 27, 2023
Certification dateJuly 6, 2020
Mailing address2300 W Park Pl Ste 125, Stone Mountain, GA 30087-3561

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