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NPI Code Detail

MEDICARE: ADRIANNA ALEXIS KIZER

MEDICARE: ADRIANNA ALEXIS KIZER
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1194368761
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANNA ALEXIS KIZER
Provider Business Mailing Address
First Line : 887 CENTAUR AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-0936
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2950 E ROCHELLE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5301
Country : US
Telephone Number : 702-789-7282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2019
Last Update Date : 01/05/2026

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Directions to “ ADRIANNA ALEXIS KIZER ” Practice Location

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