Agosta, Stacey

Agosta, Stacey is an individual health care provider with primary practice located at 80 Hauppauge Rd , Commack NY 11725-4403. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Agosta, Stacey can be contacted via phone (631) 462-0386.

Contact Information

Primary practice address
80 Hauppauge Rd Commack NY 11725-4403
Phone: (631) 462-0386
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1118752 New York
Other Service Providers / Specialist 174400000X New York

Profile Details

NPI number 1740541465
LBN Legal business name Agosta, Stacey
Credentials MS ED, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2012
Last updated Jun 5th, 2012 - about 12 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.

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