Individual
EVELYN STALLBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7580 NORTHCLIFF AVE, CLEVELAND, OH 44144-3270
(833) 455-8622
Mailing address
2733 E 12TH ST PH A2ND, BROOKLYN, NY 11235-4669
(833) 455-8622
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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