Individual
STACEY ATWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
25134 RYE CANYON LOOP, VALENCIA, CA 91355-5045
(661) 843-1901
Mailing address
27936 CHARLES DR, SAUGUS, CA 91350-1967
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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