Walters, Stephania Romaine
Walters, Stephania Romaine is an sole proprietor health care provider with primary practice located at 8359 Beacon Blvd Ste 416 , Fort Myers FL 33907-3065. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Walters, Stephania Romaine can be contacted via phone (910) 821-4236.Contact Information
Primary practice address
8359 Beacon Blvd Ste 416
Fort Myers FL 33907-3065
Phone: (910) 821-4236
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-21-161688 | Florida |
Profile Details
| NPI number | 1467824227 |
|---|---|
| LBN Legal business name | Walters, Stephania Romaine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2015 |
| Last updated | Sep 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467824227 | NPPES |
| Florida | MEDICAID | 110001100 |
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