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NPI Code Detail

MEDICARE: QUAY STEARNS

MEDICARE:   QUAY  STEARNS
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 : 1639671050
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUAY STEARNS
Provider Business Mailing Address
First Line : 1165 S SCHOOL ST
Second Line :
City : LODI
State : CA
Zip : 95240-5706
Country : US
Telephone Number : 209-369-2459
Fax Number :
Provider Business Practice Location Address
First Line : 2291 W MARCH LN STE C101
Second Line :
City : STOCKTON
State : CA
Zip : 95207-6669
Country : US
Telephone Number : 916-261-5548
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2018
Last Update Date : 03/01/2018

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Directions to “ QUAY STEARNS ” Practice Location

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