| NPI | 1417101585 |
|---|---|
| Former Name | STEPHANIE MARIE FUSCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-45233) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2008-11-15 |
| Last Update Date | 2024-04-21 |