Stephanie R Captain, is a
Behavior Technician based in Livonia, Michigan. Stephanie R Captain is licensed to practice in * (Not Available) (license number ) and her current practice location is
29691 6 Mile Rd Ste 100d, Livonia, Michigan. She can be reached at her office (for appointments etc.) via phone at
(866) 727-8274.
NPI number for Stephanie R Captain is 1194058735 and her current mailing address is 29691 6 Mile Rd Ste 100d, Livonia, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194058735.
Healthcare Provider's Profile
Full Name | Stephanie R Captain |
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Gender | Female |
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Speciality | Behavior Technician |
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Location | 29691 6 Mile Rd Ste 100d, Livonia, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194058735
- Provider Enumeration Date: 09/15/2009
- Last Update Date: 08/19/2019
Medical Identifiers
Medical identifiers for Stephanie R Captain such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194058735 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 6401007205 (Michigan) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie R Captain is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stephanie R Captain, 29691 6 Mile Rd Ste 100d, Livonia, MI 48152-8606 Ph: (866) 727-8274 | Stephanie R Captain, 29691 6 Mile Rd Ste 100d, Livonia, MI 48152-8606 Ph: (866) 727-8274 |
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