Most Relevant Information
Provider Data
| NPI Number: | 1003545419 |
| Provider Name: | TIMOTHY NUNTAKARN STEWART |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/09/2022 |
| Last Updated: | 06/09/2022 |
Provider Practice Location
9053 HARLAN ST STE 90
WESTMINSTER
CO
800312908
Practice Location Phone/Fax
| Phone: | 8887540398 |
| Fax: |
Provider Mailing Location
6416 NW 5TH WAY
FORT LAUDERDALE
FL
333096112
Provider Mailing Phone/Fax
| Phone: | 8887540398 |
| Fax: |