Individual
MRS. MADELINE SKY STANSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2451 E BASELINE RD STE 420, GILBERT, AZ 85234-2472
(480) 474-4173
Mailing address
21291 E MAYA RD, QUEEN CREEK, AZ 85142-5530
(480) 370-1479
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-111080
AZ
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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