National Provider Identifier Database

STACEY AGOSTA, MS ED, BCBA – NPI #1740541465
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

STACEY AGOSTA, MS ED, BCBA
80 HAUPPAUGE RD
COMMACK, NY11725-4403
Phone: 631-462-0386
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Behavior Analyst 103K00000X

* Indicates primary specialty

NPI Profile & details for STACEY AGOSTA

NPI Number 1740541465
Credentials MS ED, BCBA
Entity Individual
Enumeration date 05/30/2012
Last updated 06/05/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 1118752
Hospital affiliation n/a

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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