| Provider / Organization | NPI | Date Certified |
|---|---|---|
| STEPHANIE MARIE CREECH | 1306429949 | 2021-05-02 |
Stephanie Marie Creech is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1306429949. Registration indicates Stephanie Marie Creech is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Stephanie Marie Creech |
| Practice Office Address | 3245 KEEWAHDIN RD FORT GRATIOT, MI US |
| Practice Office Telephone | 8109372345 |
| Mailing Address | 5039 VILLA LINDE PKWY STE 30 FLINT, MI 485323450 US |
| Business Telephone | 9894012244 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | |
| 193400000X SING | Group Code |