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NPI Code Detail

MEDICARE: SONIA MERCEDES FLOR

MEDICARE: SONIA MERCEDES FLOR
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 AnalystLBA0797NV

General Provider Information

NPI Number : 1356810618
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONIA MERCEDES FLOR
Provider Business Mailing Address
First Line : 4620 PONY EXPRESS ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-0115
Country : US
Telephone Number : 702-489-1742
Fax Number :
Provider Business Practice Location Address
First Line : 9167 W FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6472
Country : US
Telephone Number : 702-565-1894
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2018
Last Update Date : 09/12/2024

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Directions to “ SONIA MERCEDES FLOR ” Practice Location

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