NPI 1023508199

Clarissa Jean Stiefvater

Practitioner Behavior Technician La Crosse, WI

Practice location

Address: 901 Caledonia St, La Crosse, WI 54603-2616
Phone: (608) 785-4100
Mailing address: 14301 Ewing Ave S, Burnsville, MN 55306-4885

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1023508199
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 May 2018
Record last updated: 15 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.