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NPI Code Detail

MEDICARE: ALISSANDRE CASIANO MS, BCBA, LBA

MEDICARE: ALISSANDRE CASIANO MS, BCBA, LBA
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 AnalystLBA0761NV

General Provider Information

NPI Number : 1003374166
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISSANDRE CASIANO MS, BCBA, LBA
Provider Business Mailing Address
First Line : 5353 BRAZELTON ST
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89081-2459
Country : US
Telephone Number : 210-204-4585
Fax Number :
Provider Business Practice Location Address
First Line : 555 N MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-3133
Country : US
Telephone Number : 702-789-7282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2019
Last Update Date : 04/30/2025

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