EMILY ROSE STAVING

OLIVEHURST, CA
NPI1326636994
Former NameEMILY ROSE PRATHER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-01-08
Last Update Date2021-01-08
Business Address
Mrs. EMILY ROSE STAVING MA
4343 BLUEBELL AVE
OLIVEHURST, CA 95961-9034
Phone number: 530-812-5112
Mailing Address
Mrs. EMILY ROSE STAVING MA
4343 BLUEBELL AVE
OLIVEHURST, CA 95961-9034
Phone number: 530-812-5112