Dykes, Stephanie

Dykes, Stephanie is an individual health care provider with primary practice located at 1887 Se Port St Lucie Blvd , Port St Lucie FL 34952-5530. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Dykes, Stephanie can be contacted via phone (772) 463-0444.

Contact Information

Primary practice address
1887 Se Port St Lucie Blvd Port St Lucie FL 34952-5530
Phone: (772) 463-0444
Fax: (772) 219-1339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 1733149 Florida

Profile Details

NPI number 1801322425
LBN Legal business name Dykes, Stephanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2017
Last updated Oct 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801322425 NPPES
Florida Other 1733149 RBT
Florida MEDICAID 020808500 RBT

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