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Bethany Stacy

Behavior Technician in Springfield, OH. Individual provider (NPI-1).

NPI number1073386751
StatusActive
Last updated in NPPESNov 3, 2023

Details

NPI
1073386751
Entity type
Individual (NPI-1)
Name
Bethany Stacy
Sex
Female
Sole proprietor
No
Enumeration date
Nov 3, 2023
Certification date
Nov 3, 2023
Last updated
Nov 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

2430 Van Buren Ave
Springfield, OH 45505-2555

Phone 303-989-8169

Mailing address

2430 Van Buren Ave
Springfield, OH 45505-2555

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