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General NPI Number Information
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NPI Number | 1942768312
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Entity Type | Individual
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Provider Name | DEVONNA PALMER RBT
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Gender | Female
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Dates
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Enumeration Date | 03/05/2019
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 6879 W CHARLESTON BLVD STE A
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City | LAS VEGAS
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State | NV
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Zip | 89117-1672
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Country | US
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Telephone | 702-904-9646
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Fax |
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Provider Business Mailing Address
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Address Line | 6227 GOLDEN RAIN ST
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-1823
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Country | US
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Telephone | 702-806-0357
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-19-80143
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CI5162
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License Number State | NV
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