Individual
DAKOTA STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
3335 LT MOSS RD, MISSOULA, MT 59804-7222
(406) 549-6413
(406) 542-0143
Mailing address
3335 LT MOSS RD, MISSOULA, MT 59804-7222
(406) 549-6413
(406) 542-0143
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
PSY-BA-LIC-5048
MT
106E00000X
Assistant Behavior Analyst
PSY-ABA-LIC-4512
MT
Other
Enumeration date
02/23/2021
Last updated
04/09/2024
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