Provider Demographics
NPI:1750252557
Name:SLESH, TANNER JON
Entity type:Individual
Prefix:
First Name:TANNER
Middle Name:JON
Last Name:SLESH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 MEADOWHILL LN
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-1339
Mailing Address - Country:US
Mailing Address - Phone:216-906-4814
Mailing Address - Fax:
Practice Address - Street 1:210 MEADOWHILL LN
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-1339
Practice Address - Country:US
Practice Address - Phone:216-906-4814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician