Individual
STEPHANIE MARIE DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
20890 KENBRIDGE CT, LAKEVILLE, MN 55044-8041
(612) 355-8865
Mailing address
4196 HILLTOP LN, EAGAN, MN 55123-1440
(763) 567-3967
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB552694
MN
Other
Enumeration date
09/08/2021
Last updated
02/01/2024
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