MEDICARE: LEANNA MENELAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1184383598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEANNA MENELAS

Provider Business Mailing Address
First Line	:	6421 N FLORIDA AVE STE D-1458
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-6007
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:

Provider Business Practice Location Address
First Line	:	2604 CYPRESS RIDGE BLVD
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544-6311
Country	:	US
Telephone Number	:	813-527-9638
Fax Number	:	813-867-7288

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2021
Last Update Date	:	12/31/2025

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Directions to “ LEANNA MENELAS ” Practice Location

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