Stacey Acloque

Individual provider Active NPI Behavior Analyst · Stoughton, MA

NPI 1073019477 · NPPES record last updated Apr 4, 2018

Key facts

NPI
1073019477
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
90 Hawes Way
Stoughton, MA 02072-1163
Phone
(781) 573-8128
NPI assigned
Apr 4, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

90 Hawes Way
Stoughton, MA 02072-1163

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Other providers in Stoughton, MA

All providers in Stoughton, MA · Behavior Analyst in Massachusetts

Sources for this page

Verify at the official NPI Registry.