Individual provider · Type 1 NPI
Mark Stafford, BCBA, LPA
Intellectual & Developmental Disabilities Psychologist · Chapel Hill, NC
NPI number
1699104240
Active
Practice location
1100 W Nc Highway 54 Byp, Apt. 40
Chapel Hill, NC 27516-2817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | None listed |
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 1492 (NC) |
| Psychologist | 103T00000X | 1492 (NC) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
About NPI 1699104240
Mark Stafford, BCBA, LPA's National Provider Identifier is 1699104240, issued on Nov 4, 2013. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Chapel Hill, NC. The record was last updated on Aug 21, 2015.