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NPI Code Detail

MEDICARE: JENILEE STEPP TRIEBERT BCBA

MEDICARE: JENILEE STEPP TRIEBERT 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 Analyst
2103K00000XBehavior Analyst0133001718VA

General Provider Information

NPI Number : 1730449943
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENILEE STEPP TRIEBERT BCBA
Provider Business Mailing Address
First Line : 5016 BOB WHITE DR
Second Line :
City : RICHMOND
State : KY
Zip : 40475-8010
Country : US
Telephone Number : 859-779-1603
Fax Number :
Provider Business Practice Location Address
First Line : 10440 LITTLE PATUXENT PKWY
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3561
Country : US
Telephone Number : 410-220-0768
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2012
Last Update Date : 05/25/2022

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