Stacey J Shadoff, MFT is a
Behavior Analyst based in Las Vegas, Nevada. Stacey J Shadoff is licensed to practice in California (license number 39346) and her current practice location is
2350 S Jones Blvd # 227, Las Vegas, Nevada. She can be reached at her office (for appointments etc.) via phone at
(702) 214-2140.
NPI number for Stacey J Shadoff is 1679880249 and her current mailing address is 2350 S Jones Blvd # 227, Las Vegas, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679880249.
Healthcare Provider's Profile
Full Name | Stacey J Shadoff |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 2350 S Jones Blvd # 227, Las Vegas, Nevada |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679880249
- Provider Enumeration Date: 09/02/2010
- Last Update Date: 09/02/2010
Medical Identifiers
Medical identifiers for Stacey J Shadoff such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679880249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 39346 (Nevada) | Secondary |
103K00000X | Behavior Analyst | 39346 (California) | 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. Stacey J Shadoff 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 |
Stacey J Shadoff, MFT 2350 S Jones Blvd # 227, Las Vegas, NV 89146-3103 Ph: (702) 214-2140 | Stacey J Shadoff, MFT 2350 S Jones Blvd # 227, Las Vegas, NV 89146-3103 Ph: (702) 214-2140 |
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