STACEY BLACK

MODESTO, CA
NPI1861260929
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-12-18
Last Update Date2023-12-18
Business Address
STACEY BLACK
1317 OAKDALE RD
MODESTO, CA 95355-3361
Phone number: 855-581-0100
Mailing Address
STACEY BLACK
2080 N TUSTIN AVE STE B
SANTA ANA, CA 92705-7875
Phone number:
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