Staci Renae Grubaugh, MA, BCBA
NPI 1528678828ActiveIndividual· Behavior Analyst· Fort Wayne, IN
Behavior Analyst (MA, BCBA) in Fort Wayne, Indiana, licensed in IN, with an NPI issued in August 2020.
Overview
| NPI | 1528678828 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, BCBA |
| Sole proprietor | No |
| NPI issued | Aug 3, 2020 |
| Last updated in NPPES | Oct 26, 2021 |
| Certified by provider | Oct 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 1-21-47145 | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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