Individual
CHRISTA ANN STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2104 GREENBRIAR DR, SOUTHLAKE, TX 76092-8355
(817) 442-3902
Mailing address
5036 GARBER LN, FORT WORTH, TX 76244-6181
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41226
TX
Other
Enumeration date
09/20/2019
Last updated
06/18/2020
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