Individual
LAUREN STOUTENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6396 THORNBERRY CT STE 710, MASON, OH 45040-7815
(859) 282-0400
Mailing address
6396 THORNBERRY CT STE 710, MASON, OH 45040-7815
(859) 282-0400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-392447
OH
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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