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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE REALIVASQUEZ

Active

STEPHANIE REALIVASQUEZ is a Day Training/Habilitation healthcare provider located in ALLEN, Texas. NPI 1063112886 is currently active in the NPPES registry. Verify at CMS.

Day Training/Habilitation · ALLEN, TX

Registration Details

NPI Number
1063112886
Provider Type
Individual
Gender
Female
NPI Issued
Mar 9, 2023 (3.4420593742611 yrs)
Last Updated
Mar 9, 2023
License
310995 (TX)

Practice Information

Address
1228 E EXCHANGE PKWY STE 118
ALLEN, TX, 750021980
Browse TX providers · Browse ZIP 75002
Phone
2142840677
Primary Specialty
Day Training/Habilitation
373H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.