NPI 1093184426

Stefanie Provost

Practitioner Behavior Analyst New Albany, IN

Practice location

Address: 3211 Grant Line Rd STE 15, New Albany, IN 47150-2175
Phone: (502) 417-9830

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1093184426
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2015
Record last updated: 16 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.