Stasurak, Jacqueline

Stasurak, Jacqueline is an individual health care provider with primary practice located at 6976 Professional Pkwy , Lakewood Ranch FL 34240-8414. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Stasurak, Jacqueline can be contacted via phone (941) 308-4641.

Contact Information

Primary practice address
6976 Professional Pkwy Lakewood Ranch FL 34240-8414
Phone: (941) 308-4641
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1508532664
LBN Legal business name Stasurak, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2021
Last updated Aug 19th, 2021 - about 3 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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