Female

Stephanie Jean

Behavioral Analyst in Ellicott City, MD(View on Map)

Full Name

Stephanie Jean

NPI Number

1134666779

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/20/2017

Specialties

(Taxonomies)

Code

103K00000X
106S00000X

Primary Taxonomy

Yes
No

Licenses

State

Maryland

License Number

BACB342927

Contact
Information

Purpose

Mailing
Location

Address

1314 GLYNDON AVE
8762 TOWN AND COUNTRY BLVD

City

Baltimore
Ellicott City

State

MD
MD

Postal Code

21223-3613
21043

Country

US
US

Telephone Number

N/A
(301) 825-6265

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/17/2020

Provider Address

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