MEDICARE: EMILY STAMPONE

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1396193744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY STAMPONE

Provider Business Mailing Address
First Line	:	36868 HERRING CT
Second Line	:
City	:	SELBYVILLE
State	:	DE
Zip	:	19975-3858
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7175 GATEWAY DR
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21046-2534
Country	:	US
Telephone Number	:	908-310-5421
Fax Number	:

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

Provider Enumeration Date	:	05/26/2016
Last Update Date	:	12/30/2022

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Directions to “ EMILY STAMPONE ” Practice Location

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