Individual
ANDREA O'NEAL STELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
102 MARY ALICE PARK RD, CUMMING, GA 30040-2664
(443) 414-1843
Mailing address
119 OAK HAVEN DR, CANTON, GA 30115-6180
(770) 654-8286
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36852
GA
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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