MEDICARE: STACEY SOSA BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1144742107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACEY SOSA BCBA

Provider Business Mailing Address
First Line	:	88 S LAKEVIEW DR
Second Line	:
City	:	GIBBSBORO
State	:	NJ
Zip	:	08026-1229
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	88 S LAKEVIEW DR
Second Line	:
City	:	GIBBSBORO
State	:	NJ
Zip	:	08026-1229
Country	:	US
Telephone Number	:	856-484-5332
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2017
Last Update Date	:	09/12/2024

Similar Medicare Providers

1447299748 — DR. DEBRA SUE MALLEY MD
Practice Location Address:

88 LAKEVIEW DR S , SUITE 2A
GIBBSBORO, NJ
08026-1229

Practice Phone: 856-309-0345
Practice Fax: 856-309-1213

1881884088 — DEBRA MALLEY, MD LLC
Practice Location Address:

88 LAKEVIEW DR S , BLDG 2, SUITE A
GIBBSBORO, NJ
08026-1229

Practice Phone: 856-309-0345
Practice Fax: 856-309-1213

1376996116 — GENTLECARE THERAPY LLC
Practice Location Address:

88 S LAKEVIEW DR
GIBBSBORO, NJ
08026-1229

Practice Phone: 856-484-5535
Practice Fax: 267-907-8269

1104341049 — MRS. STEPHANIE MARIE SCHWINDT MS, CCC-SLP
Practice Location Address:

88 S LAKEVIEW DR
GIBBSBORO, NJ
08026-1229

Practice Phone: 856-484-5535
Practice Fax:

1528561529 — CAROLINE RYAN BCBA, MS
Practice Location Address:

88 S LAKEVIEW DR
GIBBSBORO, NJ
08026-1229

Practice Phone: 856-484-5535
Practice Fax:

1386348159 — KAYLEE VALENTINA RODRIGUEZ
Practice Location Address:

88 S LAKEVIEW DR
GIBBSBORO, NJ
08026-1229

Practice Phone: 856-484-5535
Practice Fax:

Directions to “ STACEY SOSA BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.