Mccullough, Stacy
Mccullough, Stacy is an individual health care provider with primary practice located at 2565 N Toledo Blade Blvd , North Port FL 34289-9306. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mccullough, Stacy can be contacted via phone (941) 485-0121.Contact Information
Primary practice address
2565 N Toledo Blade Blvd
North Port FL 34289-9306
Phone: (941) 485-0121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1144713298 |
|---|---|
| LBN Legal business name | Mccullough, Stacy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2018 |
| Last updated | Jun 13th, 2018 - 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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