NPI 1225457005

Stacey Charmoy, MABCBA

Practitioner Behavior Analyst Old Mill Creek, IL

Practice location

Address: 18550 W Millburn Rd, Old Mill Creek, IL 60083-9248
Phone: (270) 777-9283
Fax: (270) 777-9283
Mailing address: PO Box 51322, Bowling Green, KY 42102-5622

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-14-15388 (IL)

Other Behavior Analyst providers in Illinois →

Registry record

NPI: 1225457005
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2014
Record last updated: 26 Jun 2017

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.