Individual
STEPHANIE TRABUCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 MANTON AVE, PROVIDENCE, RI 02909-5633
(401) 274-6310
Mailing address
610 MANTON AVE, PROVIDENCE, RI 02909-5633
(401) 274-6310
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00486
RI
Other
Enumeration date
12/24/2025
Last updated
12/24/2025
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