Stefanie Provost

NPI #1093184426 in New Albany, Indiana

Provider Information

NPI Number: 1093184426
Entity Type: Individual
Name: Stefanie Provost
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 16, 2015
Last Updated: Sep 16, 2015

Practice Location

Address: 3211 GRANT LINE RD STE 15
City: New Albany
State: Indiana
ZIP Code: 47150-2175
Phone: (502) 417-9830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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