Individual
KAITLIN ALYSSA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 MEETING ST, CHARLESTON, SC 29401-3153
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-110054
MO
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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