NPI 1063054617

Alice Staco

Practitioner Behavior Technician Bayside, NY

Practice location

Address: 21410 24th Ave STE 2, Bayside, NY 11360-2219
Phone: (347) 321-4094
Mailing address: 21600 Oxnard St STE 1800, Woodland Hills, CA 91367-7807

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in New York →

Registry record

NPI: 1063054617
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Oct 2019
Record last updated: 16 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.