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NPI Code Detail

MEDICARE: MRS. STEPHANIE GOLDRING M.S. BCBA

MEDICARE: MRS. STEPHANIE GOLDRING M.S. 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
1103K00000XBehavior Analyst1-25-83627SC

General Provider Information

NPI Number : 1568132454
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE GOLDRING M.S. BCBA
Provider Business Mailing Address
First Line : 1349 HERMITAGE LN
Second Line :
City : LADSON
State : SC
Zip : 29456-3087
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 170 MEETING ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29401-3153
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2021
Last Update Date : 10/17/2025

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