Individual
MRS. STEPHANIE M DUKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5355 SOUNDVIEW AVE, SAINT AUGUSTINE, FL 32080-7238
(260) 402-8057
Mailing address
5355 SOUNDVIEW AVE, SAINT AUGUSTINE, FL 32080-7238
(260) 402-8057
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/23/2013
Last updated
06/11/2020
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