Individual
SYDNEY SHANEL STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2990 INLAND EMPIRE BLVD STE 100&101, ONTARIO, CA 91764-4899
(909) 295-8692
Mailing address
PO BOX 740780, ATLANTA, GA 30374-0780
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106E00000X
Assistant Behavior Analyst
Primary
1114356797
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114356797
—
CA
Enumeration date
11/05/2013
Last updated
06/16/2026
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