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NPI Code Detail

MEDICARE: SERENITY STEVENS

MEDICARE:   SERENITY  STEVENS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1174974851
Entity Type Code : Individual
Provider Name (Legal Business Name) : SERENITY STEVENS
Provider Business Mailing Address
First Line : 9350 PASADENA DR STE 200
Second Line :
City : FRISCO
State : TX
Zip : 75033-5723
Country : US
Telephone Number : 810-335-5477
Fax Number :
Provider Business Practice Location Address
First Line : 9350 PASADENA DR STE 200
Second Line :
City : FRISCO
State : TX
Zip : 75033-5723
Country : US
Telephone Number : 817-203-8708
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2016
Last Update Date : 03/17/2026

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Directions to “ SERENITY STEVENS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.