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Stephanie Michelle Bastidas

Behavior Technician in Lakeland, FL. Individual provider (NPI-1).

NPI number1124923933
StatusActive
Last updated in NPPESOct 12, 2026

Details

NPI
1124923933
Entity type
Individual (NPI-1)
Name
Stephanie Michelle Bastidas
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 12, 2026
Certification date
Oct 12, 2026
Last updated
Oct 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-26-2837627FLYes

Practice location

3308 Cleveland Heights Blvd # 101
Lakeland, FL 33803-4717

Phone 863-899-5840 · Fax 800-617-7938

Mailing address

3308 Cleveland Heights Blvd # 101
Lakeland, FL 33803-4717

Phone 863-899-5840 · Fax 800-617-7938

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