National Provider Identifier
Stacey Johnson
Stacey Johnson is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency in Olean, NY and a listed phone number of (716) 938-2478.
Profile Overview
- NPI
- 1154219293
- Provider Type
- Individual
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- June 26, 2025
- Last Updated
- June 27, 2025
Practice Location
- 1 Leo Moss Dr
- Olean, NY 14760-1100
Phone: (716) 938-2478
Specialties
- Early Intervention Provider Agency (252Y00000X)
Full Record
- NPI
- 1154219293
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Stacey
- Mailing Street Address
- 1 Leo Moss Dr
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-1100
- Mailing Country
- US
- Practice Street Address
- 1 Leo Moss Dr
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-1100
- Practice Country
- US
- Practice Phone
- (716) 938-2478
- Enumeration Date
- June 26, 2025
- Last Updated
- June 27, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 27, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Early Intervention Provider Agency (252Y00000X)