Individual
MARY STOCKEBRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 COMPANION CT, SUMTER, SC 29150-1749
(803) 905-5107
(615) 815-1946
Mailing address
1321 MURFREESBORO PIKE STE 410, NASHVILLE, TN 37217-2665
(615) 247-5487
(615) 815-1946
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66224
SC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/06/2021
Last updated
08/01/2023
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