Individual
SHAYLENE SACHE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19800 VILLAGE OFFICE CT, BEND, OR 97702-1872
(541) 306-3483
Mailing address
19800 VILLAGE OFFICE CT, BEND, OR 97702-1872
(541) 306-3483
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OR
106S00000X
Behavior Technician
Primary
ABA-IN-10225643
OR
Other
Enumeration date
11/17/2022
Last updated
11/10/2023
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