Provider Demographics
NPI:1982241907
Name:LAMPARIELLO, STEPHANIE LYNN (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:LYNN
Last Name:LAMPARIELLO
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1055 E COLORADO BLVD
Mailing Address - Street 2:SUITE 560
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106
Mailing Address - Country:US
Mailing Address - Phone:818-241-6780
Mailing Address - Fax:818-241-6853
Practice Address - Street 1:25115 AVENUE STANFORD
Practice Address - Street 2:SUITE A100
Practice Address - City:SAN CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91355
Practice Address - Country:US
Practice Address - Phone:818-241-6780
Practice Address - Fax:818-295-3276
Is Sole Proprietor?:No
Enumeration Date:2019-12-09
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
106S00000X
1-20-41845103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician