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NPI Code Detail

MEDICARE: HEATHER MICHELLE STAUFFER

MEDICARE:   HEATHER MICHELLE STAUFFER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1083114367
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER MICHELLE STAUFFER
Provider Business Mailing Address
First Line : 905 TEMPE DR
Second Line :
City : HANFORD
State : CA
Zip : 93230-7609
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1220 E WASHINGTON AVE
Second Line :
City : REEDLEY
State : CA
Zip : 93654-3595
Country : US
Telephone Number : 559-305-7145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2018
Last Update Date : 02/13/2018

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Directions to “ HEATHER MICHELLE STAUFFER ” Practice Location

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