Summer Stark

NPI #1407413560 in Orange, California

Provider Information

NPI Number: 1407413560
Entity Type: Individual
Name: Summer Stark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 23, 2019
Last Updated: May 23, 2019

Practice Location

Address: 625 THE CITY DR S STE 120
City: Orange
State: California
ZIP Code: 92868-3352
Phone: (866) 727-8274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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