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NPI Code Detail

MEDICARE: STEPHANIE SWINEHART

MEDICARE: STEPHANIE SWINEHART
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1801789813
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE SWINEHART
Provider Business Mailing Address
First Line : 3621 MARION LN
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-7579
Country : US
Telephone Number : 575-520-6074
Fax Number :
Provider Business Practice Location Address
First Line : 2070 VALLEYDALE RD STE 7
Second Line :
City : HOOVER
State : AL
Zip : 35244-2035
Country : US
Telephone Number : 659-202-6559
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2025
Last Update Date : 05/29/2025

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Directions to “ STEPHANIE SWINEHART ” Practice Location

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