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NPI Code Detail

MEDICARE: STEPHANIE LEON

MEDICARE: STEPHANIE LEON
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
1103K00000XBehavior Analyst
2222Q00000XDevelopmental Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043757826
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE LEON
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY STE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5028
Country : US
Telephone Number : 407-915-7729
Fax Number : 407-588-6294
Provider Business Practice Location Address
First Line : 4085 HANCOCK BRIDGE PKWY STE 101
Second Line :
City : NORTH FORT MYERS
State : FL
Zip : 33903-7220
Country : US
Telephone Number : 239-677-3767
Fax Number : 239-236-8018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2017
Last Update Date : 12/04/2024

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Directions to “ STEPHANIE LEON ” Practice Location

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