Carissa Stacey

NPI #1982333597 in Clarksville, Tennessee

Provider Information

NPI Number: 1982333597
Entity Type: Individual
Name: Carissa Stacey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 8, 2022
Last Updated: Jun 8, 2022

Practice Location

Address: 203 HARNETT CT
City: Clarksville
State: Tennessee
ZIP Code: 37043-1966
Phone: (615) 376-0034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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