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Individual

STACEY SPENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2340 CEDAR CREEK CIR, PORTAGE, IN 46368-8013
(219) 765-4467
Mailing address
2340 CEDAR CREEK CIR, PORTAGE, IN 46368-8013

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51372
IN
106S00000X
Behavior Technician

Other

Enumeration date
12/16/2018
Last updated
12/18/2025
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