Serisola, Stanley

Serisola, Stanley is an individual health care provider with primary practice located at 4700 Spring St Ste 180 , La Mesa CA 91942-0272. He 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 his primary health care specialty. Serisola, Stanley can be contacted via phone (619) 404-0839.

Contact Information

Primary practice address
4700 Spring St Ste 180 La Mesa CA 91942-0272
Phone: (619) 404-0839
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X D7435110 California
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-53763 California

Profile Details

NPI number 1508365370
LBN Legal business name Serisola, Stanley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2018
Last updated Oct 25th, 2021 - 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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