Individual
REBECCA FAYDENE STIMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
1222 ROLLINS AVE, CHARLOTTE, NC 28205-6256
(704) 658-5961
Mailing address
1222 ROLLINS AVE, CHARLOTTE, NC 28205-6256
(704) 658-5961
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/29/2014
Last updated
01/08/2024
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