Provider Demographics
NPI:1669847893
Name:ARENAS, STEFANIE NICOLE (MA, BCBA)
Entity Type:Individual
Prefix:MS
First Name:STEFANIE
Middle Name:NICOLE
Last Name:ARENAS
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 1:2770 E INTERNATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730-5400
Mailing Address - Country:US
Mailing Address - Phone:559-327-5104
Mailing Address - Fax:559-327-5090
Practice Address - Street 1:2770 E INTERNATIONAL AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93730-5400
Practice Address - Country:US
Practice Address - Phone:559-327-5104
Practice Address - Fax:559-327-5090
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-14-16997103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst