Individual
ALISSA STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 FARMINGTON LAKES DR, OSWEGO, IL 60543-5109
(630) 509-4166
Mailing address
4 SONORA DR, MONTGOMERY, IL 60538-2114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/21/2020
Last updated
12/14/2022
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