Most Relevant Information
Provider Data
| NPI Number: | 1003546037 |
| Provider Name: | STASHAUN BAILEY CPT, CCMA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/13/2022 |
| Last Updated: | 08/21/2024 |
Provider Practice Location
2322 SAINT CLAIR DR
TEMPLE HILLS
MD
207486845
Practice Location Phone/Fax
| Phone: | 2024550323 |
| Fax: |
Provider Mailing Location
6801 JEFFERSON STREET NE
STE 150 PMB 3786
ALBUQUERQUE
NM
871094390
Provider Mailing Phone/Fax
| Phone: | 2024550323 |
| Fax: |