Most Relevant Information
Provider Data
| NPI Number: | 1003444134 |
| Provider Name: | STACY LYN ROTRAMEL |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/01/2020 |
| Last Updated: | 04/01/2020 |
Provider Practice Location
10 W SOUTH AVE
CORTLAND
IL
601124072
Practice Location Phone/Fax
| Phone: | 8157576263 |
| Fax: |
Provider Mailing Location
10 W SOUTH AVE
CORTLAND
IL
601124072
Provider Mailing Phone/Fax
| Phone: | 8157576263 |
| Fax: |