Individual
STEPHY SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 SAINT JAMES PL, PHILADELPHIA, PA 19103-5860
(856) 616-9442
Mailing address
583 SHOEMAKER RD STE 230, KING OF PRUSSIA, PA 19406-4238
(484) 681-2170
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-54286
PA
103K00000X
Behavior Analyst
Primary
BH005230
PA
Other
Enumeration date
02/16/2021
Last updated
03/03/2022
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