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NPI Code Detail

MEDICARE: FALLASHAY STAMPLEY

MEDICARE: FALLASHAY STAMPLEY
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1831056209
Entity Type Code : Individual
Provider Name (Legal Business Name) : FALLASHAY STAMPLEY
Provider Business Mailing Address
First Line : 1953 RAMADA BLVD APT 5
Second Line :
City : COLLINSVILLE
State : IL
Zip : 62234-3780
Country : US
Telephone Number : 730-230-7465
Fax Number :
Provider Business Practice Location Address
First Line : 332 S MICHIGAN AVE STE 900
Second Line :
City : CHICAGO
State : IL
Zip : 60604-4393
Country : US
Telephone Number : 855-832-6727
Fax Number : 772-675-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “ FALLASHAY STAMPLEY ” Practice Location

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