Stacy, Michaela Marie
Stacy, Michaela Marie is an sole proprietor health care provider with primary practice located at 11240 Waples Mill Rd , Fairfax VA 22030-6078. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Stacy, Michaela Marie can be contacted via phone (703) 237-2219.Contact Information
Primary practice address
11240 Waples Mill Rd
Fairfax VA 22030-6078
Phone: (703) 237-2219
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1245750694 |
|---|---|
| LBN Legal business name | Stacy, Michaela Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2017 |
| Last updated | Jun 26th, 2017 - about 8 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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