Stephanie Jean Vavilala in Saint Augustine - Behavior Analyst
Stephanie Jean Vavilala - NPI 1154476489
Stephanie Jean Vavilala is a Behavior Analyst in Saint Augustine, Florida. Stephanie Jean Vavilala practices all healthcare services and medical treatments related to Behavior Analyst. The NPI Number for Stephanie Jean Vavilala is 1154476489. The last update date is 2023-09-25.
Stephanie Jean Vavilala's current location address is 180 Center Place Way, Saint Augustine, Florida. You can contact this provider via phone number 9043186109. The mailing address for Stephanie Jean Vavilala is 180 Center Place Way, Saint Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Jean Vavilala |
|---|---|
| Address | 180 Center Place Way, Saint Augustine, Florida |
| Phone Number | 9043186109 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | BCBA |
NPI Number Detail
| NPI Number | 1154476489 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2023-09-25 |
Provider Mailing Address Detail
| Address | 180 Center Place Way |
|---|---|
| City | Saint Augustine |
| State | Florida (FL) |
| Post Code | 320958859 |
| Phone Number | 9043186109 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Behavior Analyst |
|---|---|
| Taxonomy | 103K00000X |
| Licence No | 1-17-27619 |
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Definition: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the requi |
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What is the unique identifier code issued to Stephanie Jean Vavilala by the Centers for Medicare & Medicaid Services (CMS)?
The Stephanie Jean Vavilala has been assigned the NPI (National Provider Identifier) 1154476489. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Stephanie Jean Vavilala?
The Stephanie Jean Vavilala is situated at 180 Center Place Way, in the city of Saint Augustine, state of FL, with the zip code 320958859.
What is Stephanie Jean Vavilala's area of expertise and its corresponding taxonomy classification?
The Stephanie Jean Vavilala's field of specialization is Behavior Analyst, and it falls under the taxonomy code 103K00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1154476489 assigned to Stephanie Jean Vavilala?
The Stephanie Jean Vavilala was issued its 1154476489 on 2007-01-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Stephanie Jean Vavilala most recently updated or revised?
The information pertaining to Stephanie Jean Vavilala, including its address, specialty, and other relevant details, was last updated or revised on 2023-09-25.
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