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NPI Code Detail

MEDICARE: SARA JEAN SPRADLING

MEDICARE: SARA JEAN SPRADLING
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 : 1356064398
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA JEAN SPRADLING
Provider Business Mailing Address
First Line : 6363 S PECOS RD STE 206
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-6293
Country : US
Telephone Number : 702-850-2691
Fax Number :
Provider Business Practice Location Address
First Line : 3930 HOWARD HUGHES PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0943
Country : US
Telephone Number : 702-789-5901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2022
Last Update Date : 03/18/2025

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Directions to “ SARA JEAN SPRADLING ” Practice Location

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