Individual
DR. STEFFANIE BRACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., BCBA-D
Contact information
Practice address
236 GANETT DRIVE, SOUTH PORTLAND, ME 04106-6913
(207) 661-3600
(207) 761-0783
Mailing address
28 HARVEST DR, DERRY, NH 03038-4872
(781) 572-5564
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2296
—
Other
Enumeration date
06/27/2011
Last updated
04/15/2026
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