Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | ||
N | 106S00000X | Behavior Technician |
NPI | 1003381294 |
---|---|
Provider Name | Windy Stiwald |
First Address | Bay Village, OH 44140-2658 |
Second Address | Fairlawn, OH 44333-3339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2018 |
Last Update Date | 29/09/2020 |