Brainard, Stephanie Marilyn
Brainard, Stephanie Marilyn is an individual health care provider with primary practice located at 20470 N Lake Pleasant Rd Ste 107 , Peoria AZ 85382-9708. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Brainard, Stephanie Marilyn can be contacted via phone (602) 690-7877.Contact Information
Primary practice address
20470 N Lake Pleasant Rd Ste 107
Peoria AZ 85382-9708
Phone: (602) 690-7877
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1063036333 |
|---|---|
| LBN Legal business name | Brainard, Stephanie Marilyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2020 |
| Last updated | Jun 3rd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063036333 | NPPES |
| Other | BACB542120 | BACB |
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