Stacey Kerwin
NPI #1134786783 in Springfield, Illinois
Provider Information
- NPI Number
- 1134786783
- Entity Type
- Individual
- Name
- Stacey Kerwin
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- May 20, 2019
- Last Updated
- Nov 28, 2024
Practice Location
- Address
- 3921 PINTAIL DR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62711-6738
- Phone
- (815) 216-7983
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
| Behavior Analyst |
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