Individual
SORAH STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, CSE
Contact information
Practice address
751 DONMOYER AVE, SOUTH BEND, IN 46614-1935
(574) 234-9282
(574) 234-9282
Mailing address
751 DONMOYER AVE, SOUTH BEND, IN 46614-1935
(574) 234-9282
(574) 234-9282
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4169
—
174H00000X
Health Educator
—
—
Other
Enumeration date
01/14/2008
Last updated
11/08/2012
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