Vavilala, Stephanie Jean

Vavilala, Stephanie Jean is an sole proprietor health care provider with primary practice located at 180 Center Place Way , Saint Augustine FL 32095-8859. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Vavilala, Stephanie Jean can be contacted via phone (904) 318-6109.

Contact Information

Primary practice address
180 Center Place Way Saint Augustine FL 32095-8859
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-17-27619 Florida

Profile Details

NPI number 1154476489
LBN Legal business name Vavilala, Stephanie Jean
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Sep 25th, 2023 - about 3 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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