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Individual

STEFANIE CARRENO-CERVANTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
663 PARKER LN., BRIGHAM CITY, UT 84302
(435) 734-9449
Mailing address
1105 W RUSSELL ST, SIOUX FALLS, SD 57104-1322

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-22-229530
UT
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/16/2022
Last updated
02/20/2023
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