| NPI | 1407162944 |
|---|---|
| Former Name | STACEY MAE GERARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2010-08-22 |
| Last Update Date | 2018-10-17 |