Stacey, Laura M

Stacey, Laura M is an sole proprietor health care provider with primary practice located at 1418 W Ocean View Ave , Norfolk VA 23503-1015. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Stacey, Laura M can be contacted via phone (757) 362-8388.

Contact Information

Primary practice address
1418 W Ocean View Ave Norfolk VA 23503-1015
Phone: (757) 362-8388
Fax: (757) 210-3295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-06-2849 Virginia
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0133000131 Virginia

Profile Details

NPI number 1063590313
LBN Legal business name Stacey, Laura M
Credentials M.ED., BCBA, LBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2006
Last updated Jan 6th, 2020 - about 6 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 1063590313 NPPES
Virginia Other 0133000131 MEDICAL LICENSE
Virginia Other 1-06-2849 MEDICAL LICENSE

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