Individual
ALEXA STEPHANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 ESTATES DR STE A, ROSEVILLE, CA 95678-2353
(916) 749-4646
Mailing address
214 ESTATES DR STE A, ROSEVILLE, CA 95678-2353
(916) 749-4646
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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