Individual
ALICIA STOLP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
2200 E 7TH ST, CHARLOTTE, NC 28204-3340
(704) 780-4271
Mailing address
3950 W HEARN RD, PHOENIX, AZ 85053-5461
(509) 671-1500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1331
NC
103K00000X
Behavior Analyst
BEH-000401
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-31134
BCBA CERTIFICATE
—
Enumeration date
02/18/2016
Last updated
05/09/2024
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