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NPI Code Detail

MEDICARE: STEPHANIE ROMAN LEYVA

MEDICARE:   STEPHANIE  ROMAN LEYVA
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

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 : 1598322091
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE ROMAN LEYVA
Provider Business Mailing Address
First Line : 17831 SW 134TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33177-7136
Country : US
Telephone Number : 786-527-1847
Fax Number :
Provider Business Practice Location Address
First Line : 8900 SW 117TH AVE STE C206
Second Line :
City : MIAMI
State : FL
Zip : 33186-2185
Country : US
Telephone Number : 305-224-0014
Fax Number : 305-224-0326
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2019
Last Update Date : 01/06/2026

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Directions to “ STEPHANIE ROMAN LEYVA ” Practice Location

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