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Stacy Roberts

Behavior Technician in Tempe, AZ. Individual provider (NPI-1).

NPI number1932811486
StatusActive
Last updated in NPPESDec 15, 2022

Details

NPI
1932811486
Entity type
Individual (NPI-1)
Name
Stacy Roberts
Sex
Female
Sole proprietor
No
Enumeration date
Dec 15, 2022
Certification date
Dec 15, 2022
Last updated
Dec 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1801 S Jentilly Ln Ste C20
Tempe, AZ 85281-5732

Phone 855-223-7123

Mailing address

16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417

Phone 855-223-7123

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