Individual
ANDREW YUSHI STOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
911 N GOLIAD ST, ROCKWALL, TX 75087-2230
(940) 215-6922
Mailing address
911 N GOLIAD ST, ROCKWALL, TX 75087-2230
(940) 215-6922
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-181389
TX
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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