Individual
AMBER LYNN STABENAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
338 BROADWAY ST STE 301, CAPE GIRARDEAU, MO 63701-7331
(573) 225-6678
Mailing address
8224 BURKSHIRE CIR APT 203, SWARTZ CREEK, MI 48473-1835
(810) 358-4808
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133002326
VA
103K00000X
Behavior Analyst
Primary
2022000275
MO
103K00000X
Behavior Analyst
7401001221
MI
Other
Enumeration date
03/28/2018
Last updated
01/24/2022
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