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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. ANDREA STAFFORD, MPA

Active Sole Proprietor

MRS. ANDREA STAFFORD, MPA is a Behavior Technician healthcare provider located in SAINT JACOB, Illinois. NPI 1033652219 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · SAINT JACOB, IL

Registration Details

NPI Number
1033652219
Provider Type
Individual
Gender
Female
NPI Issued
Nov 21, 2016 (9.7524497527544 yrs)
Last Updated
Nov 21, 2016
Sole Proprietor
Yes

Practice Information

Address
416 W 5TH ST
SAINT JACOB, IL, 622811524
Browse IL providers · Browse ZIP 62281
Phone
6187728352
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in SAINT JACOB, IL

Name Credential NPI
LAUREN MULQUEEN 1144797945
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.