Individual
GREGORY C STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
928 COURTHOUSE RD UNIT 3, GULFPORT, MS 39507-4110
(228) 229-8297
Mailing address
928 COURTHOUSE RD UNIT 3, GULFPORT, MS 39507-4110
(228) 229-8297
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
170040
MS
Other
Enumeration date
12/14/2017
Last updated
12/03/2020
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