Provider Demographics
NPI:1225322878
Name:HAUSER, STEFANIE LYN (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:STEFANIE
Middle Name:LYN
Last Name:HAUSER
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:MRS
Other - First Name:STEFANIE
Other - Middle Name:LYN
Other - Last Name:AYRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS ED
Mailing Address - Street 1:24 LEXINGTON HL
Mailing Address - Street 2:UNIT 1
Mailing Address - City:HARRIMAN
Mailing Address - State:NY
Mailing Address - Zip Code:10926-3428
Mailing Address - Country:US
Mailing Address - Phone:845-238-5386
Mailing Address - Fax:
Practice Address - Street 1:60 MADISON AVE
Practice Address - Street 2:8TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-1600
Practice Address - Country:US
Practice Address - Phone:914-328-2868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-31
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY385210101103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst