Stafford, Kourtney

Stafford, Kourtney is an sole proprietor health care provider with primary practice located at 3101 N 17Th Ave , Phoenix AZ 85015-5803. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Stafford, Kourtney can be contacted via phone (602) 803-3902.

Contact Information

Primary practice address
3101 N 17Th Ave Phoenix AZ 85015-5803
Phone: (602) 803-3902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1801305396
LBN Legal business name Stafford, Kourtney
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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