Individual
ELLA STACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
831 S PERRY ST, CASTLE ROCK, CO 80104-1919
(719) 309-2684
Mailing address
3878 HOURGLASS AVE, CASTLE ROCK, CO 80109-3735
(443) 632-7473
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
26-542807
CO
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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