Individual
ALLISON STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21398 PROVINCIAL BLVD, KATY, TX 77450-7580
(713) 515-7196
Mailing address
21398 PROVINCIAL BLVD, KATY, TX 77450-7580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/05/2018
Last updated
08/05/2018
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