Individual
PRIMA STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
1009 E SANDPIPER DR, TEMPE, AZ 85283-2020
(480) 286-0656
Mailing address
1009 E SANDPIPER DR, TEMPE, AZ 85283-2020
(480) 286-0656
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72880
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-24-72880
BACB CERTIFICATION
—
01
—
BEH-001632
LICENSED BEHAVIOR ANALYST (LBA)
AZ
Enumeration date
03/08/2021
Last updated
01/14/2025
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