Shawn Bradley Stacy, RBT

NPI #1104662758 in Pikeville, Kentucky

Provider Information

NPI Number
1104662758
Entity Type
Individual
Name
Shawn Bradley Stacy, RBT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Credential
RBT
Enumeration Date
Jul 3, 2024
Last Updated
Jul 3, 2024

Practice Location

Address
131 SUMMIT DR STE 402
ZIP Code
41501-1580
Phone
(606) 430-2256

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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