Stacey Shoemaker

NPI #1043959307 in Cerritos, California

Provider Information

NPI Number: 1043959307
Entity Type: Individual
Name: Stacey Shoemaker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 3, 2022
Last Updated: Jun 3, 2022

Practice Location

Address: 12604 HIDDENCREEK WAY STE C
City: Cerritos
State: California
ZIP Code: 90703-2137
Phone: (855) 223-7123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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