Provider Demographics
NPI:1770779936
Name:FARKAS, STEFANIE ANN (BCBA)
Entity type:Individual
Prefix:
First Name:STEFANIE
Middle Name:ANN
Last Name:FARKAS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 MARHOFER AVE
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-4144
Mailing Address - Country:US
Mailing Address - Phone:216-346-9972
Mailing Address - Fax:
Practice Address - Street 1:2180 MARHOFER AVE
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-4144
Practice Address - Country:US
Practice Address - Phone:216-346-9972
Practice Address - Fax:216-292-9721
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1-22-58531103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst