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NPI Code Detail

MEDICARE: LISA JANNAE SANGPRASIT

MEDICARE: LISA JANNAE SANGPRASIT
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 TechnicianRBT6019NV

General Provider Information

NPI Number : 1992663538
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA JANNAE SANGPRASIT
Provider Business Mailing Address
First Line : 2358 SPIRITO AVE
Second Line :
City : HENDERSON
State : NV
Zip : 89052-6504
Country : US
Telephone Number : 702-680-1526
Fax Number :
Provider Business Practice Location Address
First Line : 9041 S PECOS RD STE 3900
Second Line :
City : HENDERSON
State : NV
Zip : 89074-6601
Country : US
Telephone Number : 702-680-1526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ LISA JANNAE SANGPRASIT ” Practice Location

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