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Contact Information

STACEY AGOSTA, MS ED, BCBA
80 HAUPPAUGE RD
COMMACK, NY11725-4403
 Phone: 631-462-0386
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for STACEY AGOSTA · (Female)

NPI Number 1740541465
Status Active
Credentials MS ED, BCBA
Entity Individual
Enumeration date 05/30/2012
Last updated 06/05/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 1118752
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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