Provider Demographics
NPI:1164274585
Name:STEPHENS, RHONDA F
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:F
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 BRYCEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-8091
Mailing Address - Country:US
Mailing Address - Phone:336-520-7634
Mailing Address - Fax:
Practice Address - Street 1:523 BRYCEWOOD DR
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8091
Practice Address - Country:US
Practice Address - Phone:336-520-7634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician