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Stephanie Realivasquez
Day Training/Habilitation Specialist in Allen, Texas
NPI 1063112886

Stephanie Realivasquez is a Day Training/Habilitation Specialist based in Allen, TX. Stephanie Realivasquez practices in Allen, TX. The NPI Number for Stephanie Realivasquez is 1063112886 and holds a License No. 310995 (Texas).

The current practice location address for Stephanie Realivasquez is 1228 E Exchange Pkwy Ste 118, Allen, TX and can be reached out via phone at 214-284-0677. You can also correspond with Stephanie Realivasquez through the mailing address at 1228 E EXCHANGE PKWY STE 118, ALLEN, TX - 75002-1980 (mailing address contact number: 214-284-0677).

Location: 1228 E Exchange Pkwy Ste 118, Allen, TX, 75002-1980
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063112886
Provider Name
Stephanie Realivasquez
Credential
Provider Entity Type
Individual
Gender
Female
Address
1228 E Exchange Pkwy Ste 118, Allen, TX, 75002-1980
Phone Number
214-284-0677
Fax Number
Provider Enumeration Date
03/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1228 E Exchange Pkwy Ste 118
City
Allen
State
Texas
Zip
75002-1980
Phone Number
214-284-0677
Fax Number
person
Provider Business Mailing Address Details
Address
1228 E Exchange Pkwy Ste 118
City
Allen
State
Texas
Zip
75002-1980
Phone Number
214-284-0677
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
310995 (Texas)
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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