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Individual

STEPHANIE RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.A., BCABA, LABA

Contact information

Practice address
300 SAINT ANDREWS RD STE 407, SAGINAW, MI 48638-5977
(989) 341-3653
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(734) 203-0181

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-22-13532
FL
106S00000X
Behavior Technician
222Q00000X
Developmental Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017690700
FL
Enumeration date
06/06/2016
Last updated
07/08/2024
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