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Organization

LIFESTYLE ABA THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATRINA STOCKS BCBA (FOUNDER/CEO)
(270) 929-1008
Entity
Organization

Contact information

Practice address
2599 CONESTOGA CT, NEWBURGH, IN 47630-9333
(270) 929-1008
Mailing address
2599 CONESTOGA CT, NEWBURGH, IN 47630-9333

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245872316
IN
Enumeration date
02/25/2025
Last updated
02/25/2025
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