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NPI Code Detail

MEDICARE: SCOTIA HAMMOND

MEDICARE: SCOTIA HAMMOND
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 TechnicianBACB367886NV
2103K00000XBehavior AnalystLBA0607NV

General Provider Information

NPI Number : 1750897625
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTIA HAMMOND
Provider Business Mailing Address
First Line : 11500 S EASTERN AVE STE 150
Second Line :
City : HENDERSON
State : NV
Zip : 89052-5576
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11500 S EASTERN AVE STE 150
Second Line :
City : HENDERSON
State : NV
Zip : 89052-5576
Country : US
Telephone Number : 702-396-0101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2017
Last Update Date : 05/24/2024

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Directions to “ SCOTIA HAMMOND ” Practice Location

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