Stephanie Mouthaan

NPI #1437745940 in Derwood, Maryland

Provider Information

NPI Number: 1437745940
Entity Type: Individual
Name: Stephanie Mouthaan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 18, 2020
Last Updated: Dec 18, 2020

Practice Location

Address: 7529 STANDISH PL STE 355
City: Derwood
State: Maryland
ZIP Code: 20855-2733
Phone: (301) 444-5001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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