Andrew, Stacy
Andrew, Stacy is an sole proprietor health care provider with primary practice located at 5526 N Academy Blvd Ste 109 , Colorado Springs CO 80918-3688. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Andrew, Stacy can be contacted via phone (719) 301-5100.Contact Information
Primary practice address
5526 N Academy Blvd Ste 109
Colorado Springs CO 80918-3688
Phone: (719) 301-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | 21-169043 | Colorado |
Profile Details
| NPI number | 1487374393 |
|---|---|
| LBN Legal business name | Andrew, Stacy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2022 |
| Last updated | Aug 31st, 2022 - about 3 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 | 1487374393 | NPPES |
| Colorado | MEDICAID | 1790211605 |
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