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NPI Code Detail

MEDICARE: TASJIA D SLODYCZKA

MEDICARE: TASJIA D SLODYCZKA
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 : 1992640460
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASJIA D SLODYCZKA
Provider Business Mailing Address
First Line : 6321 PADDOCK GLEN DR UNIT 111
Second Line :
City : TAMPA
State : FL
Zip : 33634-5380
Country : US
Telephone Number : 656-952-1359
Fax Number :
Provider Business Practice Location Address
First Line : 5447 E BEAUMONT CENTER BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33634-5210
Country : US
Telephone Number : 888-754-0398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “ TASJIA D SLODYCZKA ” Practice Location

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