Individual
COURTNEY STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(312) 998-0570
Mailing address
10145 S STATE ST, CHICAGO, IL 60628-2044
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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