Individual
CODY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
560 VAN REED RD STE 1102, WYOMISSING, PA 19610-1799
(484) 709-1522
Mailing address
9 BANKS AVE, MCADOO, PA 18237-2508
(157) 031-6961
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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