Provider Demographics
NPI:1356987234
Name:SAULSBURY, STEPHANIE CLAIRE (RBT)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:CLAIRE
Last Name:SAULSBURY
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 1:3855 WOOD PATH DR
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-4667
Mailing Address - Country:US
Mailing Address - Phone:404-957-9348
Mailing Address - Fax:
Practice Address - Street 1:3855 WOOD PATH DR
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-4667
Practice Address - Country:US
Practice Address - Phone:404-492-0108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-26
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARBT-19-105970106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician