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NPI Code Detail

MEDICARE: RODSHIEKKA CHESTER

MEDICARE:   RODSHIEKKA  CHESTER
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 Analyst

General Provider Information

NPI Number : 1467837351
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODSHIEKKA CHESTER
Provider Business Mailing Address
First Line : 1240 W OWENS AVE STE 3
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-2452
Country : US
Telephone Number : 702-483-3100
Fax Number :
Provider Business Practice Location Address
First Line : 6008 RIDGECARN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-1373
Country : US
Telephone Number : 702-910-6415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2015
Last Update Date : 07/20/2020

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Directions to “ RODSHIEKKA CHESTER ” Practice Location

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