Individual
MRS. STACY MARIE HATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA/BIS
Contact information
Practice address
260 HATCHER ROAD, COCOLALLA, ID 83813-8381
(208) 946-8985
Mailing address
PO BOX 154, COCOLALLA, ID 83813-0154
(208) 946-8985
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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