MEDICARE: MS. STEPHANIE DIANE WANNER M. ED, BCBA

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	:	1528486891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STEPHANIE DIANE WANNER M. ED, BCBA

Provider Business Mailing Address
First Line	:	4000 FABER PLACE DR STE 300
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29405-8587
Country	:	US
Telephone Number	:	703-657-9641
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 FABER PLACE DR STE 300
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29405-8587
Country	:	US
Telephone Number	:	912-600-1000
Fax Number	:

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

Provider Enumeration Date	:	04/02/2014
Last Update Date	:	10/24/2024

Similar Medicare Providers

1154278729 — TALIA C. F. TAYLOR LPC-A
Practice Location Address:

4000 FABER PLACE DR STE 300
CHARLESTON, SC
29405-8587

Practice Phone: 803-563-8718
Practice Fax:

1407113723 — SORINITY SUPPORT SERVICES LLC
Practice Location Address:

4000 FABER PLACE DR STE 300
CHARLESTON, SC
29405-8587

Practice Phone: 866-273-6377
Practice Fax: 866-364-7607

1417314329 — LOW COUNTRY PROFESSIONAL INTERVENTION SERVICES
Practice Location Address:

4000 S FABER PLACE DR , SUITE 300
NORTH CHARLESTON, SC
29405-8587

Practice Phone: 843-323-4257
Practice Fax:

1346771318 — EBONY TIARA WRIGHT MSW, LCSW
Practice Location Address:

4000 FABER PLACE DR STE 300
NORTH CHARLESTON, SC
29405-8587

Practice Phone: 843-781-1449
Practice Fax:

1326541343 — CLAUDIA LORENA GALLENSTEIN
Practice Location Address:

4000 FABER PLACE DR STE 300
CHARLESTON, SC
29405-8587

Practice Phone: 646-941-7645
Practice Fax: 929-596-7897

1679049449 — CHIROPRACTIC IN MOTION
Practice Location Address:

4000 FABER PLACE DR STE 300
CHARLESTON, SC
29405-8587

Practice Phone: 864-415-8651
Practice Fax: 843-640-3098

Directions to “ MS. STEPHANIE DIANE WANNER M. ED, BCBA” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.