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NPI Code Detail

MEDICARE: LAUREN I STOOKEY BCBA

MEDICARE: LAUREN I STOOKEY 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
1103K00000XBehavior Analyst1-24-74259FL
2106E00000XAssistant Behavior Analyst0-21-11882FL
3106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275179293
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN I STOOKEY BCBA
Provider Business Mailing Address
First Line : PO BOX 10827
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32302-2827
Country : US
Telephone Number : 850-521-0242
Fax Number : 850-521-1973
Provider Business Practice Location Address
First Line : 2928 WELLINGTON CIR STE 201
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32309-6879
Country : US
Telephone Number : 850-521-0242
Fax Number : 850-521-1973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2019
Last Update Date : 12/08/2025

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Directions to “ LAUREN I STOOKEY BCBA” Practice Location

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