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

STEFANIE NICHOLE ALTAVILLA

Active Sole Proprietor

STEFANIE NICHOLE ALTAVILLA is a Behavior Technician healthcare provider located in GOOSE CREEK, South Carolina. NPI 1336720713 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · GOOSE CREEK, SC

Registration Details

NPI Number
1336720713
Provider Type
Individual
Gender
Female
NPI Issued
Apr 18, 2021 (5.3148513522808 yrs)
Last Updated
Apr 18, 2021
Sole Proprietor
Yes

Practice Information

Address
222 RED BANK RD
GOOSE CREEK, SC, 294454502
Browse SC providers · Browse ZIP 29445
Phone
8436282935
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in GOOSE CREEK, SC

Name Credential NPI
THERESA E SIMMONS 1659852630
TANNER CLINE 1487235222
OMNAYA SAMIR ELHOSARY 1679154306
ABBEY CAROLINE BRAY 1780265504
VESNA MCCARTHY 1457932733
AMBER L RUSSELL 1063093359
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.