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NPI Code Detail

MEDICARE: NICOLE TOMAR BURNS RBT

MEDICARE: NICOLE TOMAR BURNS RBT
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-18-54578NV

General Provider Information

NPI Number : 1497244834
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE TOMAR BURNS RBT
Provider Business Mailing Address
First Line : 9089 S PECOS RD STE 3400
Second Line :
City : HENDERSON
State : NV
Zip : 89074-7184
Country : US
Telephone Number : 702-867-5810
Fax Number : 702-867-5811
Provider Business Practice Location Address
First Line : 9089 S PECOS RD STE 3400
Second Line :
City : HENDERSON
State : NV
Zip : 89074-7184
Country : US
Telephone Number : 702-867-5810
Fax Number : 702-867-5811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2018
Last Update Date : 12/17/2025

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Directions to “ NICOLE TOMAR BURNS RBT” Practice Location

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