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Contact Information

STACY WAITE OCAMPO, BCBA
1317 OAKDALE RD
STE 800
MODESTO, CA95355
 Phone: 209-521-4791
 Fax: 209-521-4794
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for STACY WAITE OCAMPO · (Female)

NPI # 1841564259
Status Active
Credentials BCBA (Board Certified Behavior Analyst)
Entity Individual
Enumeration date 03/02/2012
Last updated 03/02/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 1-09-5511
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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