Balliet, Staci

Balliet, Staci is an sole proprietor health care provider with primary practice located at 1585 Honeywood Ct , Brea CA 92821-2735. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Balliet, Staci can be contacted via phone (714) 510-0101.

Contact Information

Primary practice address
1585 Honeywood Ct Brea CA 92821-2735
Phone: (714) 510-0101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 109631 California

Profile Details

NPI number 1053019661
LBN Legal business name Balliet, Staci
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2023
Last updated Feb 22nd, 2023 - 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.

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