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NPI Code Detail

MEDICARE: STACIANN COX

MEDICARE: STACIANN COX
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 : 1609703487
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACIANN COX
Provider Business Mailing Address
First Line : 1333 S MAYFLOWER AVE
Second Line : SUITE 220
City : MONROVIA
State : CA
Zip : 91016-4066
Country : US
Telephone Number : 818-241-6780
Fax Number : 888-588-2752
Provider Business Practice Location Address
First Line : 3210 CORRINE DR
Second Line :
City : ORLANDO
State : FL
Zip : 32803-2230
Country : US
Telephone Number : 855-295-3276
Fax Number : 888-588-2752
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “ STACIANN COX ” Practice Location

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