Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacey Johnson

Individual provider Early Intervention Provider Agency · NPI 1003441379

Stacey Johnson is an Early Intervention Provider Agency in Winter Garden, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

1002 S Dillard St Ste 106
Winter Garden, FL 34787-3991
Phone: (407) 877-0029
Fax: (407) 358-5207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1003441379
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 6, 2020
Last updated in NPPESMarch 6, 2020
Certification dateMarch 6, 2020
Mailing address93 Hillside Dr, Eustis, FL 32726-7614

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