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Stephen Schultz

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

NPI number1962025874
StatusActive
Last updated in NPPESMay 26, 2020

Details

NPI
1962025874
Entity type
Individual (NPI-1)
Name
Stephen Schultz
Sex
Male
Sole proprietor
Yes
Enumeration date
May 26, 2020
Certification date
May 26, 2020
Last updated
May 26, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-20-112770FLYes

Practice location

65 E Nasa Blvd Ste 101
Melbourne, FL 32901-1961

Phone 321-541-1970

Mailing address

1961 Trimble Rd
Melbourne, FL 32934-9037

Phone 678-857-7237

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