Individual
MCKAY STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
666 E MAIN ST STE B, CENTREVILLE, MI 49032-9803
(269) 241-2700
Mailing address
666 E MAIN ST STE B, CENTREVILLE, MI 49032-9803
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401003021
MI
106S00000X
Behavior Technician
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
12/30/2022
Last updated
10/03/2025
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