Captain, Stephanie R

Captain, Stephanie R is an sole proprietor health care provider with primary practice located at 29691 6 Mile Rd Ste 100D , Livonia MI 48152-8606. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Captain, Stephanie R can be contacted via phone (866) 727-8274.

Contact Information

Primary practice address
29691 6 Mile Rd Ste 100D Livonia MI 48152-8606
Phone: (866) 727-8274
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401007205 Michigan
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1194058735
LBN Legal business name Captain, Stephanie R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2009
Last updated Aug 19th, 2019 - about 7 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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