Individual
STACY R CIANCIOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2558 KENDALL RD, SHAKER HEIGHTS, OH 44120-1141
(216) 287-6174
Mailing address
2558 KENDALL RD, SHAKER HEIGHTS, OH 44120-1141
(216) 287-6174
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4812
—
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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