Stacey Lynn Small, M.S., BCBA, QMHP
NPI #1407285604 in West Frankfort, Illinois
Provider Information
- NPI Number
- 1407285604
- Entity Type
- Individual
- Name
- Stacey Lynn Small, M.S., BCBA, QMHP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Credential
- M.S., BCBA, QMHP
- Enumeration Date
- Nov 7, 2013
- Last Updated
- Nov 7, 2013
Practice Location
- Address
- 902 W MAIN ST
- Address 2
- C/O STACEY L. SMALL
- City
- West Frankfort
- State
- Illinois
- ZIP Code
- 62896-2210
- Phone
- (618) 201-6061
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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