MEDICARE: MYRA SAGHIR

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1982460606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYRA SAGHIR

Provider Business Mailing Address
First Line	:	113 N ROYAL ASCOT DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-4304
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2939 LAKE EAST DR STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2204
Country	:	US
Telephone Number	:	725-285-0285
Fax Number	:

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

Provider Enumeration Date	:	02/21/2024
Last Update Date	:	02/21/2024

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Directions to “ MYRA SAGHIR ” Practice Location

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