Provider Demographics
NPI:1306180690
Name:TRAPANI-BARBER, STACEY A (PSYD, LBA, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:STACEY
Middle Name:A
Last Name:TRAPANI-BARBER
Suffix:
Gender:F
Credentials:PSYD, LBA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 84
Mailing Address - Street 2:
Mailing Address - City:WEST CAMP
Mailing Address - State:NY
Mailing Address - Zip Code:12490-0084
Mailing Address - Country:US
Mailing Address - Phone:845-235-5909
Mailing Address - Fax:
Practice Address - Street 1:521 BOICES LN
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401
Practice Address - Country:US
Practice Address - Phone:845-235-5909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-27
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023064103TC0700X
1084135103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst