Provider Demographics
NPI:1689435497
Name:FEITH, STEPANI L (RBT)
Entity Type:Individual
Prefix:MRS
First Name:STEPANI
Middle Name:L
Last Name:FEITH
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6522 S GOLDENROD RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-3480
Mailing Address - Country:US
Mailing Address - Phone:561-359-7181
Mailing Address - Fax:
Practice Address - Street 1:6522 S GOLDENROD RD UNIT B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-3480
Practice Address - Country:US
Practice Address - Phone:561-359-7181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-310651106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty