1740776244 NPI number — JACLYN LEIGH STEO BCBA, LBA

Table of content: JACLYN LEIGH STEO BCBA, LBA (NPI 1740776244)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740776244 NPI number — JACLYN LEIGH STEO BCBA, LBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEO
Provider First Name:
JACLYN
Provider Middle Name:
LEIGH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
BCBA, LBA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740776244
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
509 LAKE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MEDFORD
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11763-4608
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-695-1367
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
225 BROADHOLLOW RD STE 402
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MELVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11747-4899
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-385-7780
Provider Business Practice Location Address Fax Number:
631-385-7795
Provider Enumeration Date:
07/08/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X , with the licence number:  001552 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)