Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Andrea Stafford, MPA

Individual provider Behavior Technician · NPI 1033652219

Mrs. Andrea Stafford, MPA is a Behavior Technician in Saint Jacob, Illinois. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

416 W 5th St
Saint Jacob, IL 62281-1524
Phone: (618) 772-8352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1033652219
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPA
Sole proprietorYes
NPI enumeratedNovember 21, 2016
Last updated in NPPESNovember 21, 2016

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