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NPI Code Detail

MEDICARE: AMEKIA EDWARDS

MEDICARE:   AMEKIA  EDWARDS
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 : 1598114373
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMEKIA EDWARDS
Provider Business Mailing Address
First Line : 6300 MCCARRAN ST UNIT 2025
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-8119
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6300 MCCARRAN ST UNIT 2025
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-8119
Country : US
Telephone Number : 909-816-2713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2016
Last Update Date : 06/12/2016

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Directions to “ AMEKIA EDWARDS ” Practice Location

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