Stackel, Matthew

Stackel, Matthew is an individual health care provider with primary practice located at 2574 Commerce Pkwy , North Port FL 34289-9334. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Stackel, Matthew can be contacted via phone (800) 356-4049.

Contact Information

Primary practice address
2574 Commerce Pkwy North Port FL 34289-9334
Fax: (941) 485-0519
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-22-230228 Florida

Profile Details

NPI number 1174241806
LBN Legal business name Stackel, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2022
Last updated Aug 18th, 2022 - 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.

Request for update

Popular Providers