Individual
STACEY BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 MUNICIPAL DR STE 530, NAZARETH, PA 18064-8985
(484) 335-6100
(484) 335-6104
Mailing address
630 MUNICIPAL DR STE 530, NAZARETH, PA 18064-8985
(484) 335-6100
(484) 335-6104
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH006959
PA
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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