Individual
MS. STACEY M. MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9727 GEORGIA AVE, SILVER SPRING, MD 20910-1458
(202) 420-8359
Mailing address
10101 GROSVENOR PL APT 1417, NORTH BETHESDA, MD 20852-4677
(301) 538-8990
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1-01-0645
MD
103K00000X
Behavior Analyst
Primary
LBA141
MD
Other
Enumeration date
06/20/2007
Last updated
08/25/2021
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