Individual
AUTUMN STOCKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
2475 W CHICAGO ST, RAPID CITY, SD 57702-2467
(605) 206-5004
(605) 646-4840
Mailing address
2475 W CHICAGO ST, RAPID CITY, SD 57702-2467
(605) 206-5004
(605) 646-4840
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-12518
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
10707
—
Other
Enumeration date
04/22/2020
Last updated
08/02/2021
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