Individual
STEPHANIE SHAE MASINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6197 LEHMAN DR STE 102, COLORADO SPRINGS, CO 80918-3446
(719) 225-4655
Mailing address
390 UNION BLVD STE 300, LAKEWOOD, CO 80228-6514
(303) 989-8196
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27068
CO
Other
Enumeration date
09/28/2017
Last updated
07/19/2019
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