Burgess, Stephanie

Burgess, Stephanie is an individual health care provider with primary practice located at 3236 Landmark Dr Suite 103, North Charleston SC 29418-8488. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Burgess, Stephanie can be contacted via phone (843) 608-6598.

Contact Information

Primary practice address
3236 Landmark Dr Suite 103 North Charleston SC 29418-8488
Phone: (843) 608-6598
Fax: (843) 608-6598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1245449388
LBN Legal business name Burgess, Stephanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Apr 3rd, 2017 - about 9 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 1245449388 NPPES
South Carolina MEDICAID EX6561

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