Stephanie Nicole Prodanovich

NPI #1881480663 in Clermont, Florida

Provider Information

NPI Number: 1881480663
Entity Type: Individual
Name: Stephanie Nicole Prodanovich
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 17, 2025
Last Updated: Apr 17, 2025

Practice Location

Address: 1725 E HWY 50 STE A
City: Clermont
State: Florida
ZIP Code: 34711-5188
Phone: (352) 719-0930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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