NPI 1073019477 · live from the CMS NPI Registry
Stacey Acloque
Behavior Analyst in Stoughton, MA. National Provider Identifier 1073019477, active.
NPI record
| NPI | 1073019477 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 90 Hawes Way, Stoughton, MA 02072 |
| Practice phone | 781-573-8128 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367 |
| Enumerated | April 4, 2018 |
| Last updated | April 4, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.