Individual
STEFANIE SIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
828 WAPPOO RD, CHARLESTON, SC 29407-5865
(843) 297-8470
Mailing address
40 EARL DR, MERRICK, NY 11566-1707
(516) 448-7802
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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