Individual
STACY KOTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BROOKHILL SQ S, SUGARLOAF, PA 18249-1016
(888) 726-4774
Mailing address
345A GREENWOOD ST, WORCESTER, MA 01607-1753
(508) 363-0200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
04/27/2022
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