MEDICARE: ESTEPHANIE MORENO

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	106S00000X	Behavior Technician	RBT5854	NV

General Provider Information

NPI Number	:	1083577399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTEPHANIE MORENO

Provider Business Mailing Address
First Line	:	8868 SILVERKIST DR
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89506-2963
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8868 SILVERKIST DR
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89506-2963
Country	:	US
Telephone Number	:	775-527-0418
Fax Number	:

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

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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Directions to “ ESTEPHANIE MORENO ” Practice Location

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