Individual
MRS. STEFANIE STUCKSTEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2723 RED CEDAR PARC DR S, O FALLON, MO 63368-6609
(636) 699-9552
Mailing address
2723 RED CEDAR PARC DR S, O FALLON, MO 63368-6609
(636) 699-9552
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2022014018
MO
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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