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:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467605949 | NPPES |
| Florida | MEDICAID | 019458000 |
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