Delarosa, Stacey Monique

Delarosa, Stacey Monique is an individual health care provider with primary practice located at 1301 Central Expy S Ste 230 , Allen TX 75013-8122. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Delarosa, Stacey Monique can be contacted via phone (855) 772-8847.

Contact Information

Primary practice address
1301 Central Expy S Ste 230 Allen TX 75013-8122
Phone: (855) 772-8847
Fax: (248) 912-1566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 11829680 Texas

Profile Details

NPI number 1285906438
LBN Legal business name Delarosa, Stacey Monique
Credentials M.ED., BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2012
Last updated May 21st, 2024 - about 2 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 1285906438 NPPES
Texas MEDICAID 149984001
Texas MEDICAID 207164901

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