Most Relevant Information
Provider Data
| NPI Number: | 1003499914 |
| Provider Name: | STEPHANIE NUBUOR |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/29/2021 |
| Last Updated: | 04/29/2021 |
Provider Practice Location
345A GREENWOOD ST
WORCESTER
MA
016071753
Practice Location Phone/Fax
| Phone: | 5083630200 |
| Fax: |
Provider Mailing Location
345A GREENWOOD ST
WORCESTER
MA
016071753
Provider Mailing Phone/Fax
| Phone: | 5083630200 |
| Fax: |