Healthcare Provider Details

I. General information

NPI: 1437749942
Provider Name (Legal Business Name): STEPHANIE A MARCKINI MS, BCBA, LABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE A COE

II. Dates (important events)

Enumeration Date: 01/20/2021
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 OLIVER ST STE 102
NORTH EASTON MA
02356-1467
US

IV. Provider business mailing address

50 OLIVER ST STE 102
NORTH EASTON MA
02356-1467
US

V. Phone/Fax

Practice location:
  • Phone: 781-519-9950
  • Fax: 781-519-9950
Mailing address:
  • Phone: 781-519-9950
  • Fax: 781-519-9950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2503
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: