MEDICARE: BRITTANY COLE HOUSTON

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
1	106S00000X	Behavior Technician	16-22707	NV

General Provider Information

NPI Number	:	1598231151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY COLE HOUSTON

Provider Business Mailing Address
First Line	:	1406 GRIFFITH AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3328
Country	:	US
Telephone Number	:	702-635-9965
Fax Number	:

Provider Business Practice Location Address
First Line	:	1406 GRIFFITH AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3328
Country	:	US
Telephone Number	:	702-677-8775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2018
Last Update Date	:	10/22/2018

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Directions to “ BRITTANY COLE HOUSTON ” Practice Location

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