Provider Demographics
NPI:1477837532
Name:AMES, STEPHANIE CATHERINE (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:CATHERINE
Last Name:AMES
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 SE 11TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-3741
Mailing Address - Country:US
Mailing Address - Phone:352-368-2655
Mailing Address - Fax:352-629-6806
Practice Address - Street 1:410 SE 11TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-3741
Practice Address - Country:US
Practice Address - Phone:352-368-2655
Practice Address - Fax:352-629-6806
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-03-1403103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst