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Organization

FOOTPRINTS BEHAVIOR INTERVENTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACY SINON RBT, LBT (REGISTERED BEHAVIOR TECHNICIAN)
(928) 899-0286
Entity
Organization

Contact information

Practice address
11037 WARNER AVE # 339, FOUNTAIN VALLEY, CA 92708-4007
(800) 273-4292
(949) 253-4627
Mailing address
11037 WARNER AVE # 339, FOUNTAIN VALLEY, CA 92708-4007
(800) 273-4292
(949) 253-4627

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1620713
AZ

Other

Enumeration date
06/29/2017
Last updated
07/21/2022
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