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NPI Code Detail

MEDICARE: MR. JOHN EVANS BURTON III RBT

MEDICARE: MR. JOHN EVANS BURTON III RBT
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 TechnicianRBT-26-537508NV

General Provider Information

NPI Number : 1225968266
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN EVANS BURTON III RBT
Provider Business Mailing Address
First Line : 1707 VILLAGE CENTER CIR STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-0577
Country : US
Telephone Number : 718-215-5311
Fax Number : 718-865-5165
Provider Business Practice Location Address
First Line : 1707 VILLAGE CENTER CIR STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-0577
Country : US
Telephone Number : 702-766-9840
Fax Number : 702-766-9840
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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Directions to “ MR. JOHN EVANS BURTON III RBT” Practice Location

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