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Contact Information

STEPHANIE ROSALES
7145 MAGNOLIA AVE
RIVERSIDE, CA92504-3805
 Phone: 951-686-2020
 Fax: 951-686-2121
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STEPHANIE ROSALES · (Female)

NPI # 1518255009
Status Active
Credentials
Entity Individual
Enumeration date 07/18/2011
Last updated 05/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 1-12-1015
  • CA License # LEP3111
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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