Stacey Grocke

NPI #1003442542 in Tampa, Florida

Provider Information

NPI Number: 1003442542
Entity Type: Individual
Name: Stacey Grocke
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 17, 2020
Last Updated: Mar 17, 2020

Practice Location

Address: 10014 N DALE MABRY HWY
City: Tampa
State: Florida
ZIP Code: 33618-4426
Phone: (800) 356-4049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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