Individual
FAITH STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
5150 VILLAGE PARK DR SE, BELLEVUE, WA 98006-6652
(425) 657-0620
Mailing address
5150 VILLAGE PARK DR SE, BELLEVUE, WA 98006-6652
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
AB61556628
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/18/2020
Last updated
02/12/2025
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