Most Relevant Information
Provider Data
| NPI Number: | 1003367954 |
| Provider Name: | LILLIAN STIFF |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-16-23418 |
Most Important Dates
| Enumeration Date: | 10/16/2016 |
| Last Updated: | 10/16/2016 |
Provider Practice Location
559 ZOR SHRINE PL
MADISON
WI
537192068
Practice Location Phone/Fax
| Phone: | 6084410123 |
| Fax: |
Provider Mailing Location
559 ZOR SHRINE PL
MADISON
WI
537192068
Provider Mailing Phone/Fax
| Phone: | 6084410123 |
| Fax: |