STACY MAXWELL

FORT WAYNE, IN
NPI1134990690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: IN  RBT-24-320783)
Enumeration Date2024-01-12
Last Update Date2024-01-12
Business Address
STACY MAXWELL
4422 E STATE BLVD
FORT WAYNE, IN 46815-6917
Phone number: 260-471-9263
Mailing Address
STACY MAXWELL
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885