Stasia Maddox

NPI #1134711955 in Spring Lake, North Carolina

Provider Information

NPI Number: 1134711955
Entity Type: Individual
Name: Stasia Maddox
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 4, 2021
Last Updated: Feb 4, 2021

Practice Location

Address: 1018 N BRAGG BLVD
City: Spring Lake
State: North Carolina
ZIP Code: 28390-3316
Phone: (910) 295-2609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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