Individual
STACIE VAN ZUIDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
3200 N DOBSON RD STE F-2, CHANDLER, AZ 85224-9611
(602) 859-3606
Mailing address
3200 N DOBSON RD STE F-2, CHANDLER, AZ 85224-9611
(602) 859-3606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000339
AZ
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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