Individual
STACY SEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
90 SOUTHPORT DR, LEXINGTON, KY 40503-1819
(859) 288-7580
(859) 373-8033
Mailing address
90 SOUTHPORT DR, LEXINGTON, KY 40503-1819
(859) 288-7580
(859) 373-8033
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
243855
KY
Other
Enumeration date
09/20/2016
Last updated
06/12/2020
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