Stephanie Lynn Hukle

Individual provider Active NPI Case Manager/Care Coordinator · Etna, OH

NPI 1790378552 · NPPES record last updated Feb 12, 2021

Key facts

NPI
1790378552
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
122 Kaitlyn Dr
Etna, OH 43062-7115
Phone
(614) 493-7190
NPI assigned
Feb 12, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic ABA of Central Ohio, LLC Current
since Feb 14, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

122 Kaitlyn Dr
Etna, OH 43062-7115

Mailing address

PO Box 326
Etna, OH 43018-0326

Other providers in Etna, OH

All providers in Etna, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.