Individual
ANDREA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S 5TH AVE, ANN ARBOR, MI 48104-2216
(734) 764-3471
Mailing address
210 S 5TH AVE, ANN ARBOR, MI 48104-2216
(734) 764-9466
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
7401001581
MI
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
6352000758
MI
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
6352000758
MI
Other
Enumeration date
05/20/2020
Last updated
06/11/2025
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