Individual
STACEY SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBS
Contact information
Practice address
45 CREEKSIDE LN UNIT 512, MALVERN, PA 19355-3275
(215) 668-0234
Mailing address
45 CREEKSIDE LN UNIT 512, MALVERN, PA 19355-3275
(215) 668-0234
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002255
PA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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