Stacey Osmon
Behavior Analyst
2780 Verandah Vue Way
Lakeland
, Florida 33812-6392
Stacey Osmon
Behavior Analyst
2780 Verandah Vue Way
Lakeland
, Florida 33812-6392
(863) 644-9590
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
First Address
- Stacey Osmon
- Po Box 2112
- Lakeland, FL
- Zip : 33806-2112
- Fax : (863) 644-9590
- Phone : (863) 619-2809
Second Address
- Stacey Osmon
- 2780 Verandah Vue Way
- Lakeland, FL
- Zip : 33812-6392
- Phone : (863) 619-2809
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst | 1-04-1846 | FL |
National Provider Identifier
| NPI | 1003048539 |
|---|---|
| Provider Name | Stacey Osmon |
| First Address | Lakeland, FL 33806-2112 |
| Second Address | Lakeland, FL 33812-6392 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2009 |
| Last Update Date | 24/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 687700196 | (05) | FL |
| 687700198 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.