MRS. Stacey Lynn Chisholm, BCBA

NPI #1477338143 in Warwick, New York

Provider Information

NPI Number: 1477338143
Entity Type: Individual
Name: MRS. Stacey Lynn Chisholm, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Aug 30, 2023
Last Updated: Sep 15, 2023

Practice Location

Address: 35 FACTORY ST
City: Warwick
State: New York
ZIP Code: 10990-1444
Phone: (845) 988-1003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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