Makayla Stafford
Behavior Technician in Waite Park, MN. Individual provider (NPI-1).
NPI number1124849385
StatusActive
Last updated in NPPESOct 21, 2024
Details
- NPI
- 1124849385
- Entity type
- Individual (NPI-1)
- Name
- Makayla Stafford
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 21, 2024
- Certification date
- Oct 21, 2024
- Last updated
- Oct 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
314 10th Ave S Ste 100Waite Park, MN 56387-1968
Phone 763-325-7266
Mailing address
314 10th Ave S Ste 100Waite Park, MN 56387-1968
Phone 763-325-7266
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All 345 Behavior Technician providers in Waite Park · All 697 providers in Waite Park
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