Individual
STEPHANIE DANIELLA PEZZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1547 CHERRY RD, ROCK HILL, SC 29732-2616
(704) 907-8177
Mailing address
1404 NICHOLSON AVE, ROCK HILL, SC 29732-2122
(704) 907-8177
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-96067
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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