Individual
ALLISON STABACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26121 US ROUTE 11 STE 1, EVANS MILLS, NY 13637-3283
(315) 221-5201
Mailing address
PO BOX 253, SKILLMAN, NJ 08558-0253
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-279604
NY
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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