Stephanie Marie Barnes
Behavior Technician in Melville, NY. Individual provider (NPI-1).
NPI number1164061636
StatusActive
Last updated in NPPESJan 2, 2020
Details
- NPI
- 1164061636
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Marie Barnes
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2020
- Certification date
- Jan 2, 2020
- Last updated
- Jan 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
225 Broadhollow Rd Ste 402Melville, NY 11747-4899
Phone 631-385-7780 · Fax 631-385-7795
Mailing address
1198 E 3rd AveBay Shore, NY 11706-5536
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