MEDICARE: STEFAN LUKE VANNATTA

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1548113152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEFAN LUKE VANNATTA

Provider Business Mailing Address
First Line	:	7108 S KANNER HWY
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997-7462
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	355 S MAIN ST FL 1
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-2923
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:

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

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

Similar Medicare Providers

1952254245 — EMILY LIPSHETZ
Practice Location Address:

355 S MAIN ST
GREENVILLE, SC
29601-2923

Practice Phone: 505-445-0648
Practice Fax:

1558212100 — DOMINIQUE ADDISON
Practice Location Address:

355 S MAIN ST FL 1
GREENVILLE, SC
29601-2923

Practice Phone: 855-832-6727
Practice Fax:

1093395048 — FAITH ROBISON HOLLEY BCBA
Practice Location Address:

355 SOUTH MAIN ST , 1ST FLOOR
GREENVILLE, SC
29601-2923

Practice Phone: 855-832-6727
Practice Fax: 772-675-9100

1003270281 — MARIAH NELSON
Practice Location Address:

355 SOUTH MAIN ST , 1ST FLOOR
GREENVILLE, SC
29601-2923

Practice Phone: 855-832-6727
Practice Fax:

1265959233 — SARA COLLEEN PELIKAN-CATO BCBA
Practice Location Address:

355 S MAIN ST STE 2212
GREENVILLE, SC
29601-2923

Practice Phone: 610-529-9125
Practice Fax:

1851851653 — KELI COATES
Practice Location Address:

355 SOUTH MAIN ST , 1ST FLOOR
GREENVILLE, SC
29601-2923

Practice Phone: 864-505-3234
Practice Fax:

Directions to “ STEFAN LUKE VANNATTA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.