MEDICARE: MOUNTAIN VIEW FAMILY SERVICES

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

General Provider Information

NPI Number	:	1033671565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNTAIN VIEW FAMILY SERVICES

Provider Business Mailing Address
First Line	:	2735 W PEBBLE RD UNIT 510
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-6568
Country	:	US
Telephone Number	:	510-240-0250
Fax Number	:

Provider Business Practice Location Address
First Line	:	2735 W PEBBLE RD UNIT 510
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-6568
Country	:	US
Telephone Number	:	510-240-0250
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL GRAY
Credential	:
Telephone Number	:	510-240-0250

Provider Enumeration Date	:	04/03/2019
Last Update Date	:	09/03/2019

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Directions to “MOUNTAIN VIEW FAMILY SERVICES ” Practice Location

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