Stephanie De Bolt

NPI #1598337164 in Parker, Colorado

Provider Information

NPI Number: 1598337164
Entity Type: Individual
Name: Stephanie De Bolt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 13, 2021
Last Updated: Jul 13, 2021

Practice Location

Address: 10115 S PEORIA ST UNIT 10-107
City: Parker
State: Colorado
ZIP Code: 80134-8636
Phone: (631) 560-2731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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