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NPI Code Detail

MEDICARE: MS. STEPHANIE MARIE VELAZQUEZ

MEDICARE: MS. STEPHANIE MARIE VELAZQUEZ
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 Analyst152.003105IL

General Provider Information

NPI Number : 1568191146
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STEPHANIE MARIE VELAZQUEZ
Provider Business Mailing Address
First Line : 1374 FOX HILL CT
Second Line :
City : NORTH AURORA
State : IL
Zip : 60542-8942
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1721 MOON LAKE BLVD STE 109
Second Line :
City : HOFFMAN ESTATES
State : IL
Zip : 60169-1070
Country : US
Telephone Number : 615-988-4432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2022
Last Update Date : 01/22/2026

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Directions to “ MS. STEPHANIE MARIE VELAZQUEZ ” Practice Location

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