| Doctor Name: | MISS STEPHANIE ARIANA ACEVEDO |
| NPI Number: | 1013330620 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BCBA |
| License Number: | PCI 67 |
| Business Practice Address: | 18350 Mount Langley St Fountain Valley, CA - 927086900 |
| Business Phone Number: | 7149652324 |
| Business Fax Number: | |
| Mailing Address: | 4582 Rhapsody Dr, HUNTINGTON BEACH |
| State: | CA |
| Postal Code: | 926492273 |
| Phone Number: | 7147430704 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2014 |
| NPI Last Update Date: | 09/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PCI 67 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |