Macy Lana Stoller
NPI #1114727591 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1114727591
- Entity Type
- Individual
- Name
- Macy Lana Stoller
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Mar 15, 2025
- Last Updated
- Mar 15, 2025
Practice Location
- Address
- 2131 ALABAMA AVE
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46805-4405
- Phone
- (260) 246-7239
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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