Osmon, Stacey

Osmon, Stacey is an individual health care provider with primary practice located at 2780 Verandah Vue Way , Lakeland FL 33812-6392. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Osmon, Stacey can be contacted via phone (863) 619-2809.

Contact Information

Primary practice address
2780 Verandah Vue Way Lakeland FL 33812-6392
Phone: (863) 619-2809
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-04-1846 Florida

Profile Details

NPI number 1003048539
LBN Legal business name Osmon, Stacey
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2009
Last updated Jul 24th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003048539 NPPES
Florida MEDICAID 687700196
Florida MEDICAID 687700198

Popular Providers