Provider Demographics
NPI:1396192399
Name:CURTIS, STEPHANIE SCOTT (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:SCOTT
Last Name:CURTIS
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 W CESAR E CHAVEZ BLVD
Mailing Address - Street 2:UTSA AUTISM CENTER
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-4415
Mailing Address - Country:US
Mailing Address - Phone:210-458-2007
Mailing Address - Fax:210-458-7281
Practice Address - Street 1:501 W CESAR E CHAVEZ BLVD
Practice Address - Street 2:UTSA AUTISM CENTER
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-4415
Practice Address - Country:US
Practice Address - Phone:210-458-2007
Practice Address - Fax:210-458-7281
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-19
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-15-18908103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst