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NPI Code Detail

MEDICARE: PROJECT MIND

MEDICARE: PROJECT MIND
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 : 1760049340
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROJECT MIND
Provider Business Mailing Address
First Line : 3850 W ANN RD STE 110
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-4407
Country : US
Telephone Number : 702-323-6555
Fax Number : 702-323-6613
Provider Business Practice Location Address
First Line : 3850 W ANN RD STE 110
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-4407
Country : US
Telephone Number : 702-323-6555
Fax Number : 702-323-6613
Authorized Official
Title or Position : CEO
Name : KATHRYN L MAHAN
Credential : BCBA, LBA
Telephone Number : 702-323-6555
Provider Enumeration Date : 05/20/2019
Last Update Date : 05/20/2019

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Directions to “PROJECT MIND ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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