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:
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Health care specialties

SpecialtyCodeLicense #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 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417101585 NPPES
Florida MEDICAID 022921500

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