Individual
BENNETT MICHAEL STOYANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8282 28TH CT NE STE A, LACEY, WA 98516-7162
(000) 000-0000
Mailing address
8282 28TH CT NE STE A, LACEY, WA 98516-7162
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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