MEDICARE: STEPHEN HUGHES

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
1	106S00000X	Behavior Technician
2	106S00000X	Behavior Technician	RBT-20-145827	VA

General Provider Information

NPI Number	:	1194398289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN HUGHES

Provider Business Mailing Address
First Line	:	2208 CRAVEN LN
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23228-3230
Country	:	US
Telephone Number	:	913-645-7586
Fax Number	:

Provider Business Practice Location Address
First Line	:	2208 CRAVEN LN
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23228-3230
Country	:	US
Telephone Number	:	913-645-7586
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2021
Last Update Date	:	07/19/2021

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Directions to “ STEPHEN HUGHES ” Practice Location

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