MRS. Stephanie Niccole Ippolito

NPI #1073083523 in Riverbank, California

Provider Information

NPI Number: 1073083523
Entity Type: Individual
Name: MRS. Stephanie Niccole Ippolito
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 27, 2018
Last Updated: Nov 27, 2018

Practice Location

Address: 5501 ANTIQUE ROSE WAY
City: Riverbank
State: California
ZIP Code: 95367-9505
Phone: (209) 863-2450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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