MEDICARE: STEPHANIE SLINGERLAND

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

Other Identifiers

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

General Provider Information

NPI Number	:	1578253498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE SLINGERLAND

Provider Business Mailing Address
First Line	:	5532 WILLOW BEND TRL
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34758-5001
Country	:	US
Telephone Number	:	585-750-2129
Fax Number	:

Provider Business Practice Location Address
First Line	:	8390 CHAMPIONS GATE BLVD
Second Line	:
City	:	CHAMPIONS GATE
State	:	FL
Zip	:	33896-8310
Country	:	US
Telephone Number	:	407-753-7932
Fax Number	:

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

Provider Enumeration Date	:	05/12/2023
Last Update Date	:	05/12/2023

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Directions to “ STEPHANIE SLINGERLAND ” Practice Location

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