Agee, Stacy
Agee, Stacy is an individual health care provider with primary practice located at 515 W 14Th St Unit D , Traverse City MI 49684-4059. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Agee, Stacy can be contacted via phone (800) 503-4150.Contact Information
Primary practice address
515 W 14Th St Unit D
Traverse City MI 49684-4059
Phone: (800) 503-4150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1689134959 |
|---|---|
| LBN Legal business name | Agee, Stacy |
| Credentials | RBT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2019 |
| Last updated | Mar 22nd, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689134959 | NPPES |
| Michigan | Other | H540777067298 | DRIVER'S LICENSE |
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