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NPI Code Detail

MEDICARE: MRS. CAROLINE STEVENS M.S., BCBA

MEDICARE: MRS. CAROLINE STEVENS M.S., 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

General Provider Information

NPI Number : 1821392739
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROLINE STEVENS M.S., BCBA
Provider Business Mailing Address
First Line : 17810 SPRING CREEK FOREST DR
Second Line :
City : SPRING
State : TX
Zip : 77379-4290
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17810 SPRING CREEK FOREST DR
Second Line :
City : SPRING
State : TX
Zip : 77379-4290
Country : US
Telephone Number : 832-358-2655
Fax Number : 832-358-3530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2011
Last Update Date : 01/06/2011

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