Individual
STEPHANIE MARCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
278 VIVARON AVE, SAINT CHARLES, MO 63303-4214
(301) 980-0281
(636) 265-0407
Mailing address
278 VIVARON AVE, SAINT CHARLES, MO 63303-4214
(301) 980-0281
(636) 265-0407
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2012039558
MO
Other
Enumeration date
11/26/2012
Last updated
08/22/2013
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