MEDICARE: STHEFANI MARTINEZ 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
1	106S00000X	Behavior Technician	RBT-24-362209	FL

General Provider Information

NPI Number	:	1184456311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STHEFANI MARTINEZ LEON

Provider Business Mailing Address
First Line	:	250 E 12TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-3506
Country	:	US
Telephone Number	:	786-852-0519
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 E 12TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-3506
Country	:	US
Telephone Number	:	786-852-0519
Fax Number	:

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

Provider Enumeration Date	:	08/16/2024
Last Update Date	:	01/13/2026

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Directions to “ STHEFANI MARTINEZ LEON ” Practice Location

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