Individual
STEPHANY STORDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
901 CALEDONIA ST, LA CROSSE, WI 54603-2616
(608) 785-4100
Mailing address
1412 WOOD ST, LA CROSSE, WI 54603-2403
(715) 210-9100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
71140
WI
Other
Enumeration date
05/14/2013
Last updated
03/30/2015
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