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NPI Code Detail

MEDICARE: STEPHANIE-LEIGH F CONIGLIO

MEDICARE: STEPHANIE-LEIGH F CONIGLIO
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 : 1245911882
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE-LEIGH F CONIGLIO
Provider Business Mailing Address
First Line : 1850 GRANADA BLVD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-3680
Country : US
Telephone Number : 407-508-1666
Fax Number :
Provider Business Practice Location Address
First Line : 10901 ROOSEVELT BLVD N STE 100
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33716-2305
Country : US
Telephone Number : 407-508-1666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2023
Last Update Date : 08/20/2024

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Directions to “ STEPHANIE-LEIGH F CONIGLIO ” Practice Location

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