Healthcare Provider Details

I. General information

NPI: 1558272526
Provider Name (Legal Business Name): STEPHANY ROMERO CONTRERAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANY ROMERO

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 PACIFIC BLVD
HUNTINGTON PARK CA
90255-2618
US

IV. Provider business mailing address

3020 1/2 NEBRASKA AVE
SOUTH GATE CA
90280-4118
US

V. Phone/Fax

Practice location:
  • Phone: 888-969-4427
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: