Individual
MS. STEPHANIE L FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1834 FIELDS BLVD, GREENFIELD, IN 46140-3029
(317) 527-5437
Mailing address
1834 FIELDS BLVD, GREENFIELD, IN 46140-3029
(317) 527-5437
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27889
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300009356
—
IN
Enumeration date
10/10/2017
Last updated
07/09/2019
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