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Individual

STEPHANIE BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1951 ADDISON RD S, DISTRICT HEIGHTS, MD 20747-1574
(240) 918-0263
Mailing address
1951 ADDISON RD S, DISTRICT HEIGHTS, MD 20747-1574
(240) 918-0263

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
MD

Other

Enumeration date
04/28/2025
Last updated
04/28/2025
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