Stephanie A Dubberly, BEHAVIOR ASSISTANT
Individual provider Active NPI Behavior Technician · Bean Station, TN
NPI 1699536359 · NPPES record last updated Jan 19, 2024
Key facts
- NPI
- 1699536359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 634 Howard Rd
Bean Station, TN 37708-7046 - Phone
- (142) 323-1855
- NPI assigned
- Jan 19, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
634 Howard Rd
Bean Station, TN 37708-7046
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone (855) 832-6727
Other providers in Bean Station, TN
- Stacie Nicole Davy
- DHP Medical Services LLC
- Down Home Pharmacy
- Down Home RX LLC
- Down Home RX LLC
- Amelia Brooke Fitchpatrick
- Gotcha Transportation LLC
- Rosalyn Guardino
- Amy Hall
- Hometown Medical Clinic
All providers in Bean Station, TN · Behavior Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.