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NPI Code Detail

MEDICARE: MS. JANETTE WILLIAMS

MEDICARE:  MS. JANETTE  WILLIAMS
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1184930943
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANETTE WILLIAMS
Provider Business Mailing Address
First Line : PO BOX 20033
Second Line :
City : LAS VEGAS
State : NV
Zip : 89112-2033
Country : US
Telephone Number : 702-809-5368
Fax Number : 702-631-0809
Provider Business Practice Location Address
First Line : 3450 W CHEYENNE AVE
Second Line : SUITES 400 & 500
City : N LAS VEGAS
State : NV
Zip : 89032-8222
Country : US
Telephone Number : 702-631-0324
Fax Number : 702-631-0809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2010
Last Update Date : 09/05/2010

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Directions to “ MS. JANETTE WILLIAMS ” Practice Location

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