Healthcare Provider Details

I. General information

NPI: 1649133455
Provider Name (Legal Business Name): STEPHANIE LAMBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 W CENTRAL ST
NATICK MA
01760-4392
US

IV. Provider business mailing address

99 W CENTRAL ST
NATICK MA
01760-4392
US

V. Phone/Fax

Practice location:
  • Phone: 508-690-5391
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: