Individual
JANELLE STAWASZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
885 WOODSTOCK RD STE 430-226, ROSWELL, GA 30075-2277
(215) 290-4366
Mailing address
885 WOODSTOCK RD STE 430-226, ROSWELL, GA 30075-2277
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB30769
GA
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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