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NPI Code Detail

MEDICARE: SYDNEE DECHELLE STEVENSON

MEDICARE:   SYDNEE DECHELLE STEVENSON
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
1106S00000XBehavior TechnicianNC

General Provider Information

NPI Number : 1700741626
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEE DECHELLE STEVENSON
Provider Business Mailing Address
First Line : 2519 SENIOR DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-4349
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2519 SENIOR DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28216-4349
Country : US
Telephone Number : 980-766-2356
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2025
Last Update Date : 12/23/2025

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Directions to “ SYDNEE DECHELLE STEVENSON ” Practice Location

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