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NPI Code Detail

MEDICARE: ARIC HARTWELL

MEDICARE:   ARIC  HARTWELL
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 : 1508138868
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIC HARTWELL
Provider Business Mailing Address
First Line : 2049 JADE HILLS COURT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106
Country : US
Telephone Number : 702-883-9665
Fax Number :
Provider Business Practice Location Address
First Line : 2049 JADE HILLS CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-1819
Country : US
Telephone Number : 702-883-9665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2012
Last Update Date : 02/02/2012

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Directions to “ ARIC HARTWELL ” Practice Location

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