Healthcare Provider Details

I. General information

NPI: 1487518429
Provider Name (Legal Business Name): STEFANIE LEVI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 FOREST AVE STE 200
PARAMUS NJ
07652-5238
US

IV. Provider business mailing address

10 FOREST AVE STE 200
PARAMUS NJ
07652-5238
US

V. Phone/Fax

Practice location:
  • Phone: 201-503-6334
  • Fax: 201-734-6320
Mailing address:
  • Phone: 201-503-6334
  • Fax: 201-734-6320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number15BC00284400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: