| NPI | 1518343169 |
|---|---|
| Former Name | MICHELLE STEPHENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 11690675-2506) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2026-06-04 |