Individual
KRISTIE DAWN STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401-2475
(541) 591-7899
Mailing address
4060 W AMAZON DR, EUGENE, OR 97405-4544
(661) 407-5799
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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