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NPI Code Detail

MEDICARE: STEFANIE S GRIFFEY M. ED., BCBA

MEDICARE: STEFANIE S GRIFFEY M. ED., BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-09-5312VA

General Provider Information

NPI Number : 1356577886
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANIE S GRIFFEY M. ED., BCBA
Provider Business Mailing Address
First Line : 7312 COLONY POINT RD
Second Line :
City : NORFOLK
State : VA
Zip : 23505-3300
Country : US
Telephone Number : 757-469-7833
Fax Number :
Provider Business Practice Location Address
First Line : 380 CLEVELAND PL STE B
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-6529
Country : US
Telephone Number : 757-416-5290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2009
Last Update Date : 11/15/2022

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