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NPI Code Detail

MEDICARE: BONNIE TAYLOR-ONEAL

MEDICARE:   BONNIE  TAYLOR-ONEAL
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 : 1265710073
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE TAYLOR-ONEAL
Provider Business Mailing Address
First Line : 2750 S DURANGO DR
Second Line : 2030
City : LAS VEGAS
State : NV
Zip : 89117-2636
Country : US
Telephone Number : 702-612-7742
Fax Number :
Provider Business Practice Location Address
First Line : 2750 S DURANGO DR
Second Line : 2030
City : LAS VEGAS
State : NV
Zip : 89117-2636
Country : US
Telephone Number : 702-612-7742
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2011
Last Update Date : 07/27/2011

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Directions to “ BONNIE TAYLOR-ONEAL ” Practice Location

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