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Stephanie Dykes

Behavior Technician in Port St Lucie, FL. Individual provider (NPI-1).

NPI number1801322425
StatusActive
Last updated in NPPESOct 25, 2022

Details

NPI
1801322425
Entity type
Individual (NPI-1)
Name
Stephanie Dykes
Sex
Female
Sole proprietor
No
Enumeration date
May 2, 2017
Certification date
Oct 25, 2022
Last updated
Oct 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician1733149FLYes

Practice location

1887 Se Port St Lucie Blvd
Port St Lucie, FL 34952-5530

Phone 772-463-0444 · Fax 772-219-1339

Mailing address

2367 Angel Rd Se
Palm Bay, FL 32909-6457

Phone 772-463-0444 · Fax 772-219-1339

Other practice locations

1855 W Hibiscus Blvd
Melbourne, FL 32901-2622

Phone 321-345-4232 · Fax 321-765-6434

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