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NPI Code Detail

MEDICARE: ALEXANDRA LOBANOVA

MEDICARE: ALEXANDRA LOBANOVA
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 AnalystLBA0936NV

General Provider Information

NPI Number : 1417617978
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA LOBANOVA
Provider Business Mailing Address
First Line : 5009 MAPLE TREE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89122-6812
Country : US
Telephone Number : 702-904-2852
Fax Number :
Provider Business Practice Location Address
First Line : 11500 S EASTERN AVE STE 150
Second Line :
City : HENDERSON
State : NV
Zip : 89052-5576
Country : US
Telephone Number : 702-960-0222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2021
Last Update Date : 12/11/2025

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Directions to “ ALEXANDRA LOBANOVA ” Practice Location

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