Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ursula Stallworth, CMP

Individual provider Behavior Technician · NPI 1720401185

Ursula Stallworth, CMP is a Behavior Technician in Davis, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
Specialties on file
4
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Practice location Address checks out

1260 Lake Blvd Ste 237
Davis, CA 95616-2687
Phone: (916) 613-0524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Mental Health Counselor Taxonomy 101YM0800X
Health Educator Taxonomy 174H00000X
Massage Therapist Taxonomy 225700000X · Licence 47317 (CA)

Record details

NPI number1720401185
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMP
Sole proprietorYes
NPI enumeratedJanuary 21, 2014
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address7917 Seneca Way, Antelope, CA 95843-2185

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