Mrs Stacey Kelly, is a
Behavior Technician based in Hollywood, Florida. Mrs Stacey Kelly is licensed to practice in * (Not Available) (license number ) and her current practice location is
7751 Hood St, 7751 Hood St, Hollywood, Florida. She can be reached at her office (for appointments etc.) via phone at
(754) 204-5141.
NPI number for Mrs Stacey Kelly is 1760896708 and her current mailing address is 7751 Hood St, Hollywood, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760896708.
Healthcare Provider's Profile
Full Name | Mrs Stacey Kelly |
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Gender | Female |
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Speciality | Behavior Technician |
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Location | 7751 Hood St, Hollywood, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760896708
- Provider Enumeration Date: 06/18/2014
- Last Update Date: 11/13/2023
Medical Identifiers
Medical identifiers for Mrs Stacey Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760896708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | 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. Mrs Stacey Kelly 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 |
Mrs Stacey Kelly, 7751 Hood St, Hollywood, FL 33024-2525 Ph: (754) 204-5141 | Mrs Stacey Kelly, 7751 Hood St, 7751 Hood St, Hollywood, FL 33024-2525 Ph: (754) 204-5141 |
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