Candi Stark
Behavior Technician · Lake Oswego, OR
Practice location
412 Jefferson Pkwy Ste 202Lake Oswego, OR 97035-1252
- Phone
- (888) 428-3223
- Fax
- (323) 866-1881
NPI record
- NPI
- 1588335178
- Entity type
- Individual (Type 1)
- Enumeration date
- September 23, 2021
- Last updated
- September 23, 2021
- Certified
- September 23, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X |
— | — |
Mailing address
4221 Wilshire Blvd Ste 300aLos Angeles, CA 90010-3537
- Phone
- (888) 428-3223
- Fax
- (323) 866-1881
About Candi Stark
Candi Stark is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 412 Jefferson Pkwy Ste 202, Lake Oswego, OR 97035-1252. The NPI number 1588335178 was assigned on September 23, 2021 and the record was last updated on September 23, 2021.
Frequently asked questions
What is the NPI number of Candi Stark?
The NPI number is 1588335178.
What is the phone number of Candi Stark?
The phone number listed for the practice location is (888) 428-3223.
Where is Candi Stark located?
412 Jefferson Pkwy Ste 202, Lake Oswego, OR 97035-1252.
What is the taxonomy code for Candi Stark?
The primary taxonomy code is 106S00000X – Behavior Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Behavior Technician providers in Lake Oswego
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- Dazjonae Finney412 Jefferson Pkwy Ste 202
- Bryson Yasui412 Jefferson Pkwy Ste 202
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