Provider Demographics
NPI:1720806375
Name:WRIGHT, STEPHANIE ELAINE (RBT-23-319500)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:ELAINE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RBT-23-319500
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:220 LANSDOWNE DR
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:PA
Mailing Address - Zip Code:15147-2845
Mailing Address - Country:US
Mailing Address - Phone:412-613-2231
Mailing Address - Fax:
Practice Address - Street 1:777 PENN CENTER BLVD STE 111
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-5901
Practice Address - Country:US
Practice Address - Phone:412-455-5244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARBT-23-319500106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician