Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACIE MARIE DIZZLEY-STREETER
Active Sole ProprietorSTACIE MARIE DIZZLEY-STREETER is a Behavior Analyst healthcare provider located in MONCKS CORNER, South Carolina. NPI 1194274761 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · MONCKS CORNER, SC
Registration Details
- NPI Number
- 1194274761
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 23, 2016 (9.8505312403824 yrs)
- Last Updated
- Jan 25, 2023
- License
-
1-17-27316 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
194 CYPRESS FOREST DRMONCKS CORNER, SC, 294618441Browse SC providers · Browse ZIP 29461
- Phone
- 8034598022
- Fax
- 6155775654
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in MONCKS CORNER, SC
| Name | Credential | NPI |
|---|---|---|
| TAMEECA COMER | BCBA | 1578038444 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.