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1043702905
STACEY RENEE SHINN
LOUISVILLE, KY
NPI
1043702905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: WA BA60982073)
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2018-06-05
Last Update Date
2019-08-23
Business Address
STACEY RENEE SHINN BCBA
3322 NOE WAY APT 1
LOUISVILLE, KY 40220-1861
Phone number: 812-528-0975
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Mailing Address
STACEY RENEE SHINN BCBA
3300 AIRPORT RD TRLR G18
ALAMOGORDO, NM 88310-8116
Phone number: 812-528-0975
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