Individual
MRS. BECKY STAUDACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
7712 UNICORN TAPESTRY CT, LAS VEGAS, NV 89149-0437
(734) 945-6473
Mailing address
7712 UNICORN TAPESTRY CT, LAS VEGAS, NV 89149-0437
(734) 945-6473
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000980
MI
247200000X
Other Technician
—
—
Other
Enumeration date
03/17/2016
Last updated
12/14/2021
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