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

STACY D WITHERSPOON

Active Sole Proprietor

STACY D WITHERSPOON is a Behavior Technician healthcare provider located in STONE MOUNTAIN, Georgia. NPI 1417575507 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · STONE MOUNTAIN, GA

Registration Details

NPI Number
1417575507
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2020 (6.1093199501517 yrs)
Last Updated
Nov 27, 2023
Sole Proprietor
Yes

Practice Information

Address
2300 W PARK PL
STONE MOUNTAIN, GA, 300876713
Browse GA providers · Browse ZIP 30087
Phone
6783301400
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in STONE MOUNTAIN, GA

Name Credential NPI
GOLDIE LEWIS 1639737893
PATREA BOUIE 1356902662
MS. STEPHANIE CLAIRE SAULSBURY RBT 1356987234
MIRANDA STURDIVANT 1437773975
ALYSSA TONEY 1760083802
RUTH D KINFE 1518554575
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.