MEDICARE: COLTON REID STENGER

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	BACB1130123	FL

General Provider Information

NPI Number	:	1649013723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLTON REID STENGER

Provider Business Mailing Address
First Line	:	836 BAY BRIDGE CIR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-1714
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	836 BAY BRIDGE CIR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-1714
Country	:	US
Telephone Number	:	689-304-9638
Fax Number	:

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

Provider Enumeration Date	:	06/17/2024
Last Update Date	:	06/19/2024

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Directions to “ COLTON REID STENGER ” Practice Location

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