MEDICARE: MONROE HINDS JR.

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1902272511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONROE HINDS JR.

Provider Business Mailing Address
First Line	:	1111 N LAMB BLVD SPC 140
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-1346
Country	:	US
Telephone Number	:	702-806-2745
Fax Number	:

Provider Business Practice Location Address
First Line	:	3430 E FLAMINGO RD STE 324
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5067
Country	:	US
Telephone Number	:	702-749-3200
Fax Number	:	702-749-3202

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2015
Last Update Date	:	08/18/2015

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