Individual
MARANDA STINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 W 10TH ST NE, ROME, GA 30165-2639
(800) 844-1232
Mailing address
975 W HAWTHORN DR, ITASCA, IL 60143-2056
(800) 844-1232
(888) 957-1346
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
11/01/2023
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