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NPI Code Detail

MEDICARE: STEPHANIE GRAFF

MEDICARE: STEPHANIE GRAFF
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 Analyst

General Provider Information

NPI Number : 1639596786
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE GRAFF
Provider Business Mailing Address
First Line : 383 MORRIS RD
Second Line :
City : WAYNE
State : PA
Zip : 19087-2913
Country : US
Telephone Number : 857-231-2192
Fax Number :
Provider Business Practice Location Address
First Line : 1010 N HANCOCK ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19123-2334
Country : US
Telephone Number : 857-231-2192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2014
Last Update Date : 01/27/2020

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Directions to “ STEPHANIE GRAFF ” Practice Location

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