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NPI Code Detail

MEDICARE: MRS. STEPHANIE LYNN DILLE-HUGGINS MA, BCBA

MEDICARE: MRS. STEPHANIE LYNN DILLE-HUGGINS MA, 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 Analyst1-15-18165IN

General Provider Information

NPI Number : 1689025645
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE LYNN DILLE-HUGGINS MA, BCBA
Provider Business Mailing Address
First Line : 7602 CAMBRIDGE DR
Second Line :
City : FISHERS
State : IN
Zip : 46038-1907
Country : US
Telephone Number : 317-797-1317
Fax Number :
Provider Business Practice Location Address
First Line : 360 POLK ST
Second Line :
City : GREENWOOD
State : IN
Zip : 46143-1623
Country : US
Telephone Number : 317-888-1557
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2016
Last Update Date : 06/30/2016

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