Provider Demographics
NPI:1821635491
Name:KALER, STEPHANIE NEWELL (MED, BCBA)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:NEWELL
Last Name:KALER
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:ELLEN
Other - Last Name:NEWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1182
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-1182
Mailing Address - Country:US
Mailing Address - Phone:603-566-7715
Mailing Address - Fax:
Practice Address - Street 1:2 CANDLEWOOD DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-3300
Practice Address - Country:US
Practice Address - Phone:603-566-7715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1-18-33065103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst