Healthcare Provider Details

I. General information

NPI: 1780549733
Provider Name (Legal Business Name): STEPHANIE BIKO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6102 HAMILTON WAY
EASTAMPTON TOWNSHIP NJ
08060-1673
US

IV. Provider business mailing address

30 BRANDYWINE RD
PEMBERTON NJ
08068-1307
US

V. Phone/Fax

Practice location:
  • Phone: 484-515-6125
  • Fax: 609-400-4888
Mailing address:
  • Phone: 484-515-6125
  • Fax: 609-400-4888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37AC00870500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: