Individual
COREY STUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3535 N LOMBARD ST, PORTLAND, OR 97217-5901
(800) 273-4292
(714) 596-6274
Mailing address
11037 WARNER AVE # 339, FOUNTAIN VALLEY, CA 92708-4007
(800) 273-4292
(714) 596-6274
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/09/2014
Last updated
04/25/2022
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