MEDICARE: DR. JAMIE MICHELLE HUGHES-LIKA PHD, BCBA-D, LBA

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	1-04-1911	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LBAT041816	OTHER	NV	LICENSED BEHAVIOR ANALYST (LBA)

General Provider Information

NPI Number	:	1033305131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMIE MICHELLE HUGHES-LIKA PHD, BCBA-D, LBA

Provider Business Mailing Address
First Line	:	9163 W FLAMINGO RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-6458
Country	:	US
Telephone Number	:	702-375-4461
Fax Number	:	866-611-9495

Provider Business Practice Location Address
First Line	:	9163 W FLAMINGO RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-6458
Country	:	US
Telephone Number	:	702-375-4461
Fax Number	:	866-611-9495

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

Provider Enumeration Date	:	09/21/2007
Last Update Date	:	03/03/2019

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