| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JENNIFER LYNN STANFIELD | 1538621354 | 2021-10-10 |
Jennifer Lynn Stanfield is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538621354. Registration indicates Jennifer Lynn Stanfield is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Jennifer Lynn Stanfield BCABA |
| Practice Office Address | 1070 W HOUGHTON LAKE DR PRUDENVILLE, MI US |
| Practice Office Telephone | 9892024900 |
| Mailing Address | 9350 HURON PARK DR BRIGHTON, MI 481166295 US |
| Business Telephone | 7343950239 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | 0-19-9544
MI |