Simonds, Stacey D

Simonds, Stacey D is an sole proprietor health care provider with primary practice located at 1463 Oakfield Dr Ste 102 , Brandon FL 33511-3893. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Simonds, Stacey D can be contacted via phone (813) 438-8902.

Contact Information

Primary practice address
1463 Oakfield Dr Ste 102 Brandon FL 33511-3893
Phone: (813) 438-8902
Fax: (813) 438-8903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1467605949
LBN Legal business name Simonds, Stacey D
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2008
Last updated Jun 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467605949 NPPES
Florida MEDICAID 019458000

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