Buenavista, Stacey Ann
Buenavista, Stacey Ann is an sole proprietor health care provider with primary practice located at 2275 Arlington Dr , San Leandro CA 94578-1132. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Buenavista, Stacey Ann can be contacted via phone (510) 317-1437.Contact Information
Primary practice address
2275 Arlington Dr
San Leandro CA 94578-1132
Phone: (510) 317-1437
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1851427009 |
---|---|
LBN Legal business name | Buenavista, Stacey Ann |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 24th, 2007 |
Last updated | Jul 12th, 2023 - about 2 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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