Provider Demographics
NPI:1902375546
Name:MCDONALD, STEPHANIE (BCBA)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:SCHNEITER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3050 PARKHILL DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6531
Mailing Address - Country:US
Mailing Address - Phone:406-651-5700
Mailing Address - Fax:406-894-2004
Practice Address - Street 1:2060 OVERLAND AVE STE B
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6439
Practice Address - Country:US
Practice Address - Phone:406-651-5700
Practice Address - Fax:406-894-2004
Is Sole Proprietor?:No
Enumeration Date:2018-11-13
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1-19-38245103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst