Individual
MS. STEPHANIE DIANE WANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED, BCBA
Contact information
Practice address
4000 FABER PLACE DR STE 300, CHARLESTON, SC 29405-8587
(912) 600-1000
Mailing address
4000 FABER PLACE DR STE 300, CHARLESTON, SC 29405-8587
(703) 657-9641
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/02/2014
Last updated
10/24/2024
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