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NPI Code Detail

MEDICARE: MISS NIKITA YATIN NANA

MEDICARE:  MISS NIKITA YATIN NANA
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 : 1841555299
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS NIKITA YATIN NANA
Provider Business Mailing Address
First Line : 6721 QUINELLA DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-4357
Country : US
Telephone Number : 702-523-8584
Fax Number :
Provider Business Practice Location Address
First Line : 3680 N RANCHO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3180
Country : US
Telephone Number : 702-523-8584
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2012
Last Update Date : 07/11/2012

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Directions to “ MISS NIKITA YATIN NANA ” Practice Location

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