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Individual
GARY MICHAEL STUBBS
Active
Individual
GARY MICHAEL STUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LBS, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000078
PA
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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