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NPI Code Detail

MEDICARE: MAURICE THOMAS

MEDICARE: MAURICE THOMAS
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 : 1720596083
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAURICE THOMAS
Provider Business Mailing Address
First Line : 3532 BARREL RACE CT
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89032-2441
Country : US
Telephone Number : 702-347-9905
Fax Number :
Provider Business Practice Location Address
First Line : 1351 W OWENS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-2432
Country : US
Telephone Number : 702-344-7990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2018
Last Update Date : 01/19/2018

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Directions to “ MAURICE THOMAS ” Practice Location

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