Individual
ALLESSANDRA MAE STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 S TOPAZ WAY STE 100, MERIDIAN, ID 83642-4477
(208) 417-7971
Mailing address
1706 N RADCLIFFE WAY, EAGLE, ID 83616-3954
(208) 995-9727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/20/2021
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