Individual
MRS. STACIE MARIE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-SPED/ABA, BCBA
Contact information
Practice address
455 W STUART RD, BELLINGHAM, WA 98226-1204
(360) 348-6414
Mailing address
6297 CHESTNUT DR, MAPLE FALLS, WA 98266-8262
(360) 961-2593
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61282307
WA
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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