Healthcare Provider Details

I. General information

NPI: 1164342333
Provider Name (Legal Business Name): AKILAH MARIE STRIBLING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 W WALL ST
GRAPEVINE TX
76051-5285
US

IV. Provider business mailing address

965 DUNCAN PERRY RD APT 1307
GRAND PRAIRIE TX
75050-2925
US

V. Phone/Fax

Practice location:
  • Phone: 817-442-7086
  • Fax:
Mailing address:
  • Phone: 704-974-4554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number26533090
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: