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Individual

STACI LYNN CREAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
2150 S COUNTRY CLUB DR STE 36, MESA, AZ 85210-6886
(619) 339-5596
(877) 602-5087
Mailing address
2150 S COUNTRY CLUB DR STE 36, MESA, AZ 85210-6886
(619) 339-5596
(877) 602-5087

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18942
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225206444
AZ
Enumeration date
12/27/2021
Last updated
07/08/2025
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