MEDICARE: STEPHANIE ESPINOZA

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		AZ

General Provider Information

NPI Number	:	1437652310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE ESPINOZA

Provider Business Mailing Address
First Line	:	3592 S ATHERTON BLVD STE 101
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-7444
Country	:	US
Telephone Number	:	480-269-0786
Fax Number	:

Provider Business Practice Location Address
First Line	:	3592 S ATHERTON BLVD STE 101
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-7444
Country	:	US
Telephone Number	:	480-269-0786
Fax Number	:

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

Provider Enumeration Date	:	03/16/2018
Last Update Date	:	02/09/2026

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Directions to “ STEPHANIE ESPINOZA ” Practice Location

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