Stephanie Marilyn Brainard

NPI #1063036333 in Peoria, Arizona

Provider Information

NPI Number: 1063036333
Entity Type: Individual
Name: Stephanie Marilyn Brainard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 3, 2020
Last Updated: Jun 3, 2020

Practice Location

Address: 20470 N LAKE PLEASANT RD STE 107
City: Peoria
State: Arizona
ZIP Code: 85382-9708
Phone: (602) 690-7877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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