MEDICARE: NAOMI LOUISE MONDESI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103K00000X	Behavior Analyst
2	251B00000X	Case Management Agency
3	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1053691469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAOMI LOUISE MONDESI

Provider Business Mailing Address
First Line	:	732 S 6TH ST # 4474
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-6948
Country	:	US
Telephone Number	:	775-314-4004
Fax Number	:

Provider Business Practice Location Address
First Line	:	732 S 6TH ST # 4474
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-6948
Country	:	US
Telephone Number	:	775-314-4004
Fax Number	:

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

Provider Enumeration Date	:	08/17/2011
Last Update Date	:	06/04/2025

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Directions to “ NAOMI LOUISE MONDESI ” Practice Location

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