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NPI Code Detail

MEDICARE: MRS. STEPHANIE MARIE DENNIS

MEDICARE: MRS. STEPHANIE MARIE DENNIS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1255104238
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE MARIE DENNIS
Provider Business Mailing Address
First Line : 620 BARKFIELD LOOP
Second Line :
City : BRANDON
State : FL
Zip : 33511-7122
Country : US
Telephone Number : 813-289-0760
Fax Number :
Provider Business Practice Location Address
First Line : 3109 W DR MARTIN LUTHER KING JR BLVD STE 500
Second Line :
City : TAMPA
State : FL
Zip : 33607-6220
Country : US
Telephone Number : 813-289-0760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2023
Last Update Date : 09/18/2025

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Directions to “ MRS. STEPHANIE MARIE DENNIS ” Practice Location

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