Anderson, Stephanie J

Anderson, Stephanie J is an sole proprietor health care provider with primary practice located at 1163 N 164Th Ave , Goodyear AZ 85338-6296. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Anderson, Stephanie J can be contacted via phone (623) 206-2212.

Contact Information

Primary practice address
1163 N 164Th Ave Goodyear AZ 85338-6296
Phone: (623) 206-2212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1851066591
LBN Legal business name Anderson, Stephanie J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2021
Last updated Aug 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851066591 NPPES
Arizona Other 01 BEHAVIORAL COACH

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