Individual
STACY ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 KINGS TOWNE PL, SHREVEPORT, LA 71108-6012
(318) 834-6084
Mailing address
620 KINGS TOWNE PL, SHREVEPORT, LA 71108-6012
(318) 834-6084
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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