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NPI Code Detail

MEDICARE: NEVAEH MARIAH RODRIGUEZ

MEDICARE: NEVAEH MARIAH RODRIGUEZ
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-26-544506NV

General Provider Information

NPI Number : 1396670915
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEVAEH MARIAH RODRIGUEZ
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 :
Fax Number :
Provider Business Practice Location Address
First Line : 1550 W CRAIG RD STE 310
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-0336
Country : US
Telephone Number : 702-991-1730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ NEVAEH MARIAH RODRIGUEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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