Provider Demographics
NPI:1649597881
Name:KUHN, STACEY ERIN (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:STACEY
Middle Name:ERIN
Last Name:KUHN
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 ALPINE DR
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82718-8844
Mailing Address - Country:US
Mailing Address - Phone:412-582-0296
Mailing Address - Fax:
Practice Address - Street 1:120 ALPINE DR
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82718-8844
Practice Address - Country:US
Practice Address - Phone:877-584-6227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH000020103K00000X
HI16103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst