Ms Staci Blair Marzolino, LCSW, BCBA is a
Behavior Analyst based in Fredericksburg, Virginia. Ms Staci Blair Marzolino is licensed to practice in Virginia (license number 0133000637) and her current practice location is
306 Westwood Office Park, Fredericksburg, Virginia. She can be reached at her office (for appointments etc.) via phone at
(856) 520-3099.
NPI number for Ms Staci Blair Marzolino is 1831516731 and her current mailing address is 105 Birch Ct, Locust Grove, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831516731.
Healthcare Provider's Profile
Full Name | Ms Staci Blair Marzolino |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 306 Westwood Office Park, Fredericksburg, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831516731
- Provider Enumeration Date: 03/28/2014
- Last Update Date: 08/05/2015
Medical Identifiers
Medical identifiers for Ms Staci Blair Marzolino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831516731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 0904007946 (Virginia) | Secondary |
103K00000X | Behavior Analyst | 0133000637 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Staci Blair Marzolino is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Staci Blair Marzolino, LCSW, BCBA 105 Birch Ct, Locust Grove, VA 22508-5720 Ph: (856) 520-3099 | Ms Staci Blair Marzolino, LCSW, BCBA 306 Westwood Office Park, Fredericksburg, VA 22401-5108 Ph: (856) 520-3099 |
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