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NPI Code Detail

MEDICARE: SHANE STEFFES

MEDICARE: SHANE STEFFES
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 Analyst1-20-43007CA

General Provider Information

NPI Number : 1851890529
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANE STEFFES
Provider Business Mailing Address
First Line : 21600 OXNARD ST
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-4976
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9245 ACTIVITY RD STE 106
Second Line :
City : SAN DIEGO
State : CA
Zip : 92126-4442
Country : US
Telephone Number : 858-428-0222
Fax Number : 847-348-3706
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2018
Last Update Date : 05/05/2021

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Directions to “ SHANE STEFFES ” Practice Location

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