Stacy, Racheal

Stacy, Racheal is an individual health care provider with primary practice located at 1085 Canaan Heights Rd , Davis WV 26260-8007. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Stacy, Racheal can be contacted via phone (304) 851-6643.

Contact Information

Primary practice address
1085 Canaan Heights Rd Davis WV 26260-8007
Phone: (304) 851-6643
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-44839 West Virginia

Profile Details

NPI number 1902438278
LBN Legal business name Stacy, Racheal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2020
Last updated Oct 2nd, 2020 - 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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