Daugherty, Stephanie Marie
Daugherty, Stephanie Marie is an individual health care provider with primary practice located at 4655 Rosebud Ln , Newburgh IN 47630-9366. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Daugherty, Stephanie Marie can be contacted via phone (812) 213-8031.Contact Information
Primary practice address
4655 Rosebud Ln
Newburgh IN 47630-9366
Phone: (812) 213-8031
Fax: (317) 520-8200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-17-41534 |
Profile Details
| NPI number | 1043859960 |
|---|---|
| LBN Legal business name | Daugherty, Stephanie Marie |
| Credentials | RBT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2019 |
| Last updated | Dec 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043859960 | NPPES |
| Other | RBT-17-41534 | RBT CERTIFICATE |
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