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Individual

STEPHANIE SHAFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
24654 N LAKE PLEASANT PKWY # 103-704, PEORIA, AZ 85383-1359
(623) 229-2900
Mailing address
2228 N 52ND ST, 241, PHOENIX, AZ 85008-3443
(623) 229-2900

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB268596
2355S0801X
Speech-Language Assistant
3927896
AZ

Other

Enumeration date
03/29/2008
Last updated
03/23/2021
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