Individual
EMILY AMANDA STUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2490 WILLAMETTE ST, EUGENE, OR 97405-7210
(503) 927-1179
Mailing address
2490 WILLAMETTE ST, EUGENE, OR 97405-7210
(503) 927-1179
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10225625
OR
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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