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1548927221
STACY ANN KOSSMAN
TWIN FALLS, ID
NPI
1548927221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: ID 1-21-52143)
Enumeration Date
2021-11-17
Last Update Date
2023-09-28
Business Address
STACY ANN KOSSMAN BCBA
2500 ELIZABETH BLVD
TWIN FALLS, ID 83301-7508
Phone number: 719-459-4006
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Mailing Address
STACY ANN KOSSMAN BCBA
2500 ELIZABETH BLVD
TWIN FALLS, ID 83301-7508
Phone number: 719-459-4006
Copy
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