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NPI Code Detail

MEDICARE: MICHAEL BOYKIN

MEDICARE: MICHAEL BOYKIN
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 Analyst1402316722NV

General Provider Information

NPI Number : 1023474459
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL BOYKIN
Provider Business Mailing Address
First Line : 9404 SHELLFISH CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-0267
Country : US
Telephone Number : 702-981-1153
Fax Number :
Provider Business Practice Location Address
First Line : 9404 SHELLFISH CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-0267
Country : US
Telephone Number : 702-981-1153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2016
Last Update Date : 01/14/2016

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Directions to “ MICHAEL BOYKIN ” Practice Location

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