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NPI Code Detail

MEDICARE: BRIANA CARBAJAL

MEDICARE: BRIANA CARBAJAL
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
2101YM0800XMental Health CounselorCI2840NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811313349
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANA CARBAJAL
Provider Business Mailing Address
First Line : 3021 GRASSWREN DR
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-2234
Country : US
Telephone Number : 702-530-8929
Fax Number :
Provider Business Practice Location Address
First Line : 3127 E WARM SPRINGS RD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3134
Country : US
Telephone Number : 702-850-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2014
Last Update Date : 07/23/2020

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Directions to “ BRIANA CARBAJAL ” Practice Location

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