Provider Demographics
NPI:1063693448
Name:STENHOFF, DONALD MATTHEW (PHD, BCBA-D, LBA)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:MATTHEW
Last Name:STENHOFF
Suffix:
Gender:M
Credentials:PHD, BCBA-D, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 E BASELINE RD
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-1406
Mailing Address - Country:US
Mailing Address - Phone:602-926-7200
Mailing Address - Fax:602-368-2730
Practice Address - Street 1:1430 E BASELINE RD
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1406
Practice Address - Country:US
Practice Address - Phone:602-926-7200
Practice Address - Fax:602-368-2730
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBA-11103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst