Boyle, Stacie A
Boyle, Stacie A is an individual health care provider with primary practice located at 3737 N 7Th St Ste 170 , Phoenix AZ 85014-5079. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Boyle, Stacie A can be contacted via phone (602) 341-6540.Contact Information
Primary practice address
3737 N 7Th St Ste 170
Phoenix AZ 85014-5079
Phone: (602) 341-6540
Fax: (602) 253-9015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1518496769 |
|---|---|
| LBN Legal business name | Boyle, Stacie A |
| Credentials | BASW, BHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2017 |
| Last updated | Jun 9th, 2017 - about 8 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 | 1518496769 | NPPES |
| Arizona | MEDICAID | 860137109 |
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