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

Stacy Thelisme

Individual provider Behavior Technician · NPI 1952070716

Stacy Thelisme is a Behavior Technician in Lakewood Ranch, Florida. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

6976 Professional Pkwy
Lakewood Ranch, FL 34240-8414
Phone: (941) 308-4641
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1952070716
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 7, 2021
Last updated in NPPESSeptember 7, 2021
Certification dateSeptember 7, 2021
Mailing address6427 Brook Village Cv, Bradenton, FL 34202-2743

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