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NPI Code Detail

MEDICARE: DOROTHY DAVIS

MEDICARE: DOROTHY DAVIS
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447763636
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHY DAVIS
Provider Business Mailing Address
First Line : 8970 W CHEYENNE AVE STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-8928
Country : US
Telephone Number : 702-527-7771
Fax Number : 702-527-7741
Provider Business Practice Location Address
First Line : 8970 W CHEYENNE AVE STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-8928
Country : US
Telephone Number : 702-527-7771
Fax Number : 702-527-7741
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2017
Last Update Date : 11/09/2017

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Directions to “ DOROTHY DAVIS ” Practice Location

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