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NPI Code Detail

MEDICARE: QUISHANA BAILEY

MEDICARE: QUISHANA BAILEY
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 TechnicianRBT-24-361389TN

General Provider Information

NPI Number : 1811867559
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUISHANA BAILEY
Provider Business Mailing Address
First Line : 3621 MARION LN
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-7579
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3621 MARION LN
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-7579
Country : US
Telephone Number : 931-323-7361
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2025
Last Update Date : 12/23/2025

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Directions to “ QUISHANA BAILEY ” Practice Location

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