MEDICARE: STEPHANIE A MARCKINI MS, BCBA, LABA

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
1	103K00000X	Behavior Analyst	2503	MA

General Provider Information

NPI Number	:	1437749942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE A MARCKINI MS, BCBA, LABA

Provider Business Mailing Address
First Line	:	1112 WASHINGTON ST
Second Line	:
City	:	HANOVER
State	:	MA
Zip	:	02339-1675
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1112 WASHINGTON ST
Second Line	:
City	:	HANOVER
State	:	MA
Zip	:	02339-1675
Country	:	US
Telephone Number	:	774-262-8998
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2021
Last Update Date	:	12/14/2025

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