Most Relevant Information
Provider Data
| NPI Number: | 1003684358 |
| Provider Name: | STEPHANIE MALAVE-ROMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/15/2023 |
| Last Updated: | 01/11/2024 |
Provider Practice Location
173 WEEDEN ST UNIT 203
PAWTUCKET
RI
028602469
Practice Location Phone/Fax
| Phone: | 4016881497 |
| Fax: |
Provider Mailing Location
173 WEEDEN ST UNIT 203
PAWTUCKET
RI
028602469
Provider Mailing Phone/Fax
| Phone: | 4016881497 |
| Fax: |