Individual
STEPHANIE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7529 STANDISH PL STE 355, ROCKVILLE, MD 20855-2733
(571) 317-1742
Mailing address
583 SHOEMAKER RD STE 230, KING OF PRUSSIA, PA 19406-4238
(484) 681-2170
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-18-33778
PA
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
01/25/2022
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