| Stout Advancement Aba Services Llc | |
|
3171 Clemson Rd Gulf Breeze FL 32563-2707 | |
| (256) 343-2010 | |
| Not Available |
| Full Name | Stout Advancement Aba Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3171 Clemson Rd, Gulf Breeze, Florida |
| Authorized Official Name and Position | Steven Stout (DIRECTOR) |
| Authorized Official Contact | 2563432010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stout Advancement Aba Services Llc 3171 Clemson Rd Gulf Breeze FL 32563-2707 Ph: (256) 343-2010 | Stout Advancement Aba Services Llc 3171 Clemson Rd Gulf Breeze FL 32563-2707 Ph: (256) 343-2010 |
| NPI Number | 1720734338 |
|---|---|
| Provider Enumeration Date | 02/23/2022 |
| Last Update Date | 02/23/2022 |
| Certification Date | 02/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720734338 | NPI | - | NPPES |
| 1-13-2694 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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