Individual
STACIA LEIGH MCKINALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, NCC
Contact information
Practice address
560 UPPER HEMBREE RD, ROSWELL, GA 30076-1130
(678) 448-7404
Mailing address
560 UPPER HEMBREE RD, ROSWELL, GA 30076-1130
(678) 448-7404
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8411
GA
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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