Angel Stidham

NPI #1225771546 in Mentor, Ohio

Provider Information

NPI Number: 1225771546
Entity Type: Individual
Name: Angel Stidham
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 14, 2022
Last Updated: Apr 14, 2022

Practice Location

Address: 6370 SEMINOLE TRL
City: Mentor
State: Ohio
ZIP Code: 44060-3466
Phone: (216) 716-9198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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