MEDICARE: STEPHANIE TRAINER

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	103K00000X	Behavior Analyst	1-21-52308	OH

General Provider Information

NPI Number	:	1114693454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE TRAINER

Provider Business Mailing Address
First Line	:	1300 GRANT DR
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44134-5327
Country	:	US
Telephone Number	:	216-299-1573
Fax Number	:

Provider Business Practice Location Address
First Line	:	2736 MEDINA RD STE 108
Second Line	:
City	:	MEDINA
State	:	OH
Zip	:	44256-9801
Country	:	US
Telephone Number	:	330-867-2240
Fax Number	:

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

Provider Enumeration Date	:	08/17/2021
Last Update Date	:	01/17/2024

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Directions to “ STEPHANIE TRAINER ” Practice Location

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