Individual
STACY LYNN DEMARANVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2730 S VAL VISTA DR BLDG 4, GILBERT, AZ 85295-1675
(949) 500-4967
Mailing address
11802 N 91ST PL, SCOTTSDALE, AZ 85260-6869
(949) 500-4967
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45172
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-45172
BACB CERTIFICATION NUMBER
—
Enumeration date
01/20/2021
Last updated
02/02/2021
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