Stacey Johnson
Stacey Johnson is an Early Intervention Provider Agency in Olean, New York. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
1 Leo Moss DrOlean, NY 14760-1100
Phone: (716) 938-2478
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Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1154219293 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 26, 2025 |
| Last updated in NPPES | June 27, 2025 |
| Certification date | June 27, 2025 |
| Mailing address | 1 Leo Moss Dr, Olean, NY 14760-1100 |
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