Stayton, Andrea
Stayton, Andrea is an sole proprietor health care provider with primary practice located at 175 Cumberland Park Dr Ste 100 , Saint Augustine FL 32095-8955. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Stayton, Andrea can be contacted via phone (904) 201-9129.Contact Information
Primary practice address
175 Cumberland Park Dr Ste 100
Saint Augustine FL 32095-8955
Phone: (904) 201-9129
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-07-3966 |
Profile Details
| NPI number | 1205071917 |
|---|---|
| LBN Legal business name | Stayton, Andrea |
| Credentials | MS, BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2008 |
| Last updated | Aug 21st, 2025 - about last year |
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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