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NPI Code Detail

MEDICARE: ALESSONDRA STEPHENS

MEDICARE: ALESSONDRA STEPHENS
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 Analyst1-26-89292TX

General Provider Information

NPI Number : 1972146629
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALESSONDRA STEPHENS
Provider Business Mailing Address
First Line : 2701 SHORELINE DR STE 151
Second Line :
City : DENTON
State : TX
Zip : 76210-0176
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2701 SHORELINE DR STE 151
Second Line :
City : DENTON
State : TX
Zip : 76210-0176
Country : US
Telephone Number : 214-778-1153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2019
Last Update Date : 05/20/2026

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Directions to “ ALESSONDRA STEPHENS ” Practice Location

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