MEDICARE: STEFFI SCHAMBERGER

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	CABIT050912	NV

General Provider Information

NPI Number	:	1164782439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEFFI SCHAMBERGER

Provider Business Mailing Address
First Line	:	3725 SHIMMERING CREEK AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-2096
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 E SUNSET RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3506
Country	:	US
Telephone Number	:	702-738-6905
Fax Number	:

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

Provider Enumeration Date	:	05/21/2012
Last Update Date	:	05/21/2012

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Directions to “ STEFFI SCHAMBERGER ” Practice Location

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