Stacey Cornelius, BCBA

NPI #1225309636 in California, Maryland

Provider Information

NPI Number: 1225309636
Entity Type: Individual
Name: Stacey Cornelius, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Jan 17, 2012
Last Updated: Oct 22, 2014

Practice Location

Address: 22593 THREE NOTCH RD
City: California
State: Maryland
ZIP Code: 20619-3054
Phone: (301) 862-2505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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