STEPHANIE REALIVASQUEZ NPI 1063112886

NPI Information

  • NPI: 1063112886
  • Provider Name: STEPHANIE REALIVASQUEZ
  • Classification: Day Training/Habilitation Specialist - 373H00000X
  • Entity Type: Individual
  • Address: 1228 E EXCHANGE PKWY STE 118
    ALLEN, TX
    ZIP 75002
  • Phone: (214) 284-0677

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NPI Details

Stephanie Realivasquez is a day training habilitation specialist in Allen, TX. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. Stephanie Realivasquez NPI is 1063112886. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1228 E EXCHANGE PKWY STE 118
ALLEN, TX
ZIP 75002-980
Phone: (214) 284-0677

The enumeration date for this NPI number is 3/9/2023 and was last updated on 3/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1373H00000XDay Training/Habilitation Specialist310995TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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