Longo, Stephanie Marie
Longo, Stephanie Marie is an sole proprietor health care provider with primary practice located at 350 Fairway Dr Ste 101 , Deerfield Beach FL 33441-1834. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Longo, Stephanie Marie can be contacted via phone (877) 418-2978.Contact Information
Primary practice address
350 Fairway Dr Ste 101
Deerfield Beach FL 33441-1834
Phone: (877) 418-2978
Fax: (866) 500-2186
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | Florida | |
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-20-45233 | Florida |
Profile Details
NPI number | 1417101585 |
---|---|
LBN Legal business name | Longo, Stephanie Marie |
Credentials | BCBA, LMSW, ITDS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 15th, 2008 |
Last updated | Apr 21st, 2024 - about 8 months 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 | 1417101585 | NPPES |
Florida | MEDICAID | 022921500 |
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