Individual
STEPHANIE TERBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3265 HERITAGE TRACE DR E, BELLBROOK, OH 45305-8753
(765) 313-6028
Mailing address
3265 HERITAGE TRACE DR E, BELLBROOK, OH 45305-8753
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54230
OH
106E00000X
Assistant Behavior Analyst
0-19-10603
IN
Other
Enumeration date
03/30/2020
Last updated
11/05/2024
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