Individual
STEPHANIE MALAVE-ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
173 WEEDEN ST UNIT 203, PAWTUCKET, RI 02860-2469
(401) 688-1497
Mailing address
173 WEEDEN ST UNIT 203, PAWTUCKET, RI 02860-2469
(401) 688-1497
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
01/11/2024
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