Provider Demographics
NPI:1538575733
Name:SOKOLOSKY, STEPHANIE (BCBA-D)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:
Last Name:SOKOLOSKY
Suffix:
Gender:F
Credentials:BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 532228
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78553-2228
Mailing Address - Country:US
Mailing Address - Phone:956-216-7552
Mailing Address - Fax:956-216-8077
Practice Address - Street 1:315 E JACKSON ST
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-6849
Practice Address - Country:US
Practice Address - Phone:956-216-7552
Practice Address - Fax:956-216-8077
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-12-10433103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst