Individual
HEATHER MARIE STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2270 LAKE AVE, SUITE 101, FORT WAYNE, IN 46805-5359
(888) 667-1181
(888) 265-7858
Mailing address
PO BOX 10343, FORT WAYNE, IN 46851-0343
(888) 667-1181
(888) 265-7858
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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