Provider Demographics
NPI:1538781752
Name:GAFFEN STONE, MICHAELA ANNE (BCBA)
Entity type:Individual
Prefix:
First Name:MICHAELA
Middle Name:ANNE
Last Name:GAFFEN STONE
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 TILLOTSON ST
Mailing Address - Street 2:
Mailing Address - City:TRINIDAD
Mailing Address - State:CO
Mailing Address - Zip Code:81082-2323
Mailing Address - Country:US
Mailing Address - Phone:207-749-3787
Mailing Address - Fax:
Practice Address - Street 1:620 TILLOTSON ST
Practice Address - Street 2:
Practice Address - City:TRINIDAD
Practice Address - State:CO
Practice Address - Zip Code:81082-2323
Practice Address - Country:US
Practice Address - Phone:207-749-3787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-11
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst