Tavares, Stephanie Dominique

Tavares, Stephanie Dominique is an individual health care provider with primary practice located at 830 Cherry Ave Ne , Canton OH 44702-1089. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Tavares, Stephanie Dominique can be contacted via phone (330) 455-2442.

Contact Information

Primary practice address
830 Cherry Ave Ne Canton OH 44702-1089
Phone: (330) 455-2442
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1184390734
LBN Legal business name Tavares, Stephanie Dominique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2021
Last updated Aug 23rd, 2021 - about 3 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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